Agency Information Collection Activities: Proposed Request and Comment Request, 63630-63636 [2020-22297]
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(Catalog of Federal Domestic Assistance
Number 59008)
Cynthia Pitts,
Acting Associate Administrator for Disaster
Assistance.
[FR Doc. 2020–22288 Filed 10–7–20; 8:45 am]
BILLING CODE 8026–03–P
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2020–0053]
Agency Information Collection
Activities: Proposed Request and
Comment Request
The Social Security Administration
(SSA) publishes a list of information
collection packages requiring clearance
by the Office of Management and
Budget (OMB) in compliance with
Public Law 104–13, the Paperwork
Reduction Act of 1995, effective October
1, 1995. This notice includes revisions
and one extension 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–
2020–0053].
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 December 7,
2020. Individuals can obtain copies of
the collection instruments by writing to
the above email address.
1. Disability Report-Appeal—20 CFR
404.1512, 416.912, 404.916(c),
416.1416(c), 422.140, 404.1713,
416.1513, 404.1740(b)(4), and
416.1540(b)(4)—0960–0144. SSA
requires disability applicants who wish
to appeal an unfavorable determination
to complete Form SSA–3441–BK; the
Number of
respondents
Modality of completion
SSA–3441–BK (Paper Form) ....................
Electronic Disability Collect System
(EDCS)—Individuals ..............................
Electronic Disability Collect System
(EDCS)—Representatives .....................
i3441 (Internet Application)—Individuals ..
i3441 (Internet Application)—Representatives .......................................................
Totals ..........................................
Frequency of
response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
associated Electronic Disability Collect
System (EDCS) interview; or the internet
application, i3441. This allows
claimants to disclose any changes to
their disability, or resources, which
might influence SSA’s unfavorable
determination. SSA may use the
information to: (1) Reconsider and
review an initial disability
determination; (2) review a continuing
disability; and (3) evaluate a request for
a hearing. This information assists the
State Disability Determination Services
(DDS) and administrative law judges
(ALJ) in preparing for the appeals and
hearings, and in issuing a determination
or decision on an individual’s
entitlement (initial or continuing) to
disability benefits. In addition, the
information we collect on the SSA–
3441–BK, or related modalities,
facilitates SSA’s collection of medical
information to support the applicant’s
request for reconsideration; request for
benefits cessation appeal; and request
for a hearing before an ALJ.
Respondents are individuals who
appeal denial, reduction, or cessation of
Social Security disability benefits and
Supplemental Security Income (SSI)
payments; individuals who wish to
request a hearing before an ALJ; or their
representatives.
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) ***
22,556
1
45
16,917
* $18.22
** 24
*** $472,609
208,831
1
45
156,623
* 10.73
** 24
*** 2,576,863
71,652
109,598
1
1
45
28
53,739
51,146
* 25.72
* 10.73
........................
........................
*** 1,382,167
*** 548,797
656,424
1
28
306,331
* 25.72
........................
*** 7,878,833
1,069,061
........................
........................
584,756
........................
........................
*** 12,859,269
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* We based these figures on average DI hourly wages for single students based on SSA’s current FY 2020 data (https://www.ssa.gov/legislation/
2020Fact%20Sheet.pdf), and on average U.S. citizen’s hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes231011.htm),
as well as a combination of those two figures (for the paper form, as we do not collect data on whether the paper forms are filled out by individuals or representatives
or both).
** We based this figure on the average FY 2020 wait times for field offices, based on our current management information data.
*** This figure does not represent actual costs that we are 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. Annual Earnings Test Direct Mail
Follow-Up Program Notices—20 CFR
404.452–404.455—0960–0369. SSA
developed the Annual Earnings Test
Direct Mail Follow-up Program to
improve beneficiary reporting on work
and earnings during the year and
earnings information at the end of the
year. SSA may reduce benefits payable
under the Social Security Act (Act)
when an individual has wages or self-
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employment income exceeding the
annual exempt amount. SSA identifies
beneficiaries likely to receive more than
the annual exempt amount, and requests
more frequent estimates of earnings
from them. When applicable, SSA also
requests a future year estimate to reduce
overpayments due to earnings. SSA
sends letters (SSA–L9778, SSA–L9779,
SSA–L9781, SSA–L9784, SSA–L9785,
and SSA–L9790) to beneficiaries
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requesting earnings information the
month prior to their attainment of full
retirement age. We send each
beneficiary a tailored letter that includes
relevant earnings data from SSA
records. The Annual Earnings Test
Direct Mail Follow-up Program helps to
ensure Social Security payments are
correct, and enables us to prevent
earnings-related overpayments, and
avoid erroneous withholding. The
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respondents are working Social Security
beneficiaries with earnings over the
exempt amount.
Number of
respondents
Modality of completion
SSA–L9778
SSA–L9779
SSA–L9781
SSA–L9784
SSA–L9785
SSA–L9790
Type of Request: Revision of an OMBapproved information collection.
Average
burden per
response
(minutes)
Frequency of
response
Average
theoretical
hourly cost
amount
(dollars) *
Estimated
total annual
burden
(hours)
Total annual
opportunity
cost
(dollars) **
..........................................
..........................................
..........................................
..........................................
..........................................
..........................................
42,630
158,865
472,437
1,270
15,870
45,000
1
1
1
1
1
1
10
10
10
10
10
10
7,105
26,478
78,740
212
2,645
7,500
$25.72
25.72
25.72
25.72
25.72
25.72
** $182,741
** 681,014
** 2,025,193
** 5,453
** 68,029
** 192,900
Totals ............................................
736,072
........................
........................
122,680
........................
** 3,155,330
* We based these figures on the average U.S. citizen’s hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/
current/oes231011.htm).
** This figure does not represent actual costs that we are 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.
7050–F4 to verify the wage earner has:
(1) Earnings; (2) the right to access the
correct Social Security Record; and (3)
the right to request the earnings
statement. If we verify all three items,
SSA produces an Itemized Statement of
Earnings (Form SSA–1826) and sends it
to the requestor. The agency charges
respondents for sending them an
3. Request for Social Security
Earnings Information—20 CFR 401.100
and 404.810—0960–0525. The Act
permits wage earners, or their
authorized representatives, to request
Social Security earnings information
from SSA using Form SSA–7050–F4.
SSA uses the information the
respondent provides on Form SSA–
Itemized Statement of Earnings.
Respondents are wage earners and their
authorized representatives who are
requesting Itemized Statement of
Earnings records.
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–7050–F4 ..........................................
66,800
1
11
12,247
* $25.72
** $314,993
* We based this on the average U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/
oes_nat.htm).
** 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.
Cost Burden to Respondents: The
agency charges respondents to send
them an Itemized Statement of Earnings
for purposes unrelated to the
administration of our programs. The
Number of
requests
Type of respondent
khammond on DSKJM1Z7X2PROD with NOTICES
chart below shows the costs to the
respondents for this request:
Cost per
request
Total annual
cost to
respondent
Non-Certified Copy Respondent ..................................................................................................
Certified Copy Respondent .........................................................................................................
33,400
33,400
$92.00
122.00
$3,072,800
4,074,800
Total ......................................................................................................................................
........................
........................
7,147,600
4. Disability Case Development
Information Collections By State
Disability Determination Services On
Behalf of SSA—20 CFR 404.1503a,
404.1512, 404.1513, 404.1514, 404.1517,
404.1519; 20 CFR 404.1613, 404.1614,
404.1624; 20 CFR 416.903a, 416.912,
416.913, 416.914, 416.917, 416.919 and
20 CFR 416.1013, 416.1014, 416.1024—
0960–0555. DDSs collect the
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information necessary to administer the
Social Security Disability Insurance and
SSI programs. They collect medical
evidence from consultative examination
(CE) sources; credential information
from CE source applicants; and medical
evidence of record (MER) from
claimants’ medical sources. In addition,
the DDSs collect information from
claimants regarding medical
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Sfmt 4703
appointments, pain, symptoms, and
impairments. The respondents are
medical providers, other sources of
MER, and disability claimants.
Type of Request: Revision of an OMBapproved information collection.
CE Collections
There are four CE information
collections: (a) Medical evidence about
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claimants’ medical condition(s) that
DDS’s use to make disability
determinations when the claimant’s
own medical sources cannot or will not
provide the required information, and
proof of credentials from CE providers;
(b) CE appointment letters; (c) CE
claimant reports sent to claimants’
Number of
respondents
Modality of completion
doctors; and (d) One-time CE claimant
telehealth call script/letter.
(a) Medical Evidence and Credentials
From CE Providers
Average
burden per
response
(minutes)
Frequency of
response
Average
theoretical
hourly cost
amount
(dollars) *
Estimated
total annual
burden
(hours)
Total annual
opportunity
cost
(dollars) **
CE Paper Submissions ............................
CE Electronic Submissions ......................
CE Credentials .........................................
1,400,000
296,000
4,000
1
1
1
30
10
15
700,000
49,333
1,000
* $40.21
* 40.21
* 40.21
** $28,147,000
** 1,983,680
** 40,210
Totals ................................................
1,700,000
........................
........................
750,333
........................
** 30,170,890
* We based this figure on average Healthcare Practitioners and Technical Occupations hourly salary, as reported by Bureau of Labor Statistics
data (https://www.bls.gov/oes/current/oes290000.htm).
(b) CE Appointment Letters and (c) CE
Claimants’ Report to Medical Providers
Number of
respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency of
response
Average
theoretical
hourly cost
amount
(dollars) *
Estimated total
annual burden
(hours)
Total annual
opportunity
cost
(dollars) **
(b) CE Appointment Letters .....................
(c) CE Claimants’ Report to Medical Providers ....................................................
880,000
1
5
73,333
* $10.73
** $786,863
450,000
1
5
37,500
* 10.73
** 402,375
Totals ................................................
1,330,000
........................
........................
110,833
........................
** 1,189,238
* We based this figure
2020Fact%20Sheet.pdf).
on
average
DI
payments
based
on
SSA’s
current
FY
2020
data
(https://www.ssa.gov/legislation/
(d) CE Claimant Telehealth CE Call
Script/Letter
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) **
CE Claimant Telehealth Call Script/Letter
10,000
1
5
833
* $10.73
** $8,938
* We based this figure
2020Fact%20Sheet.pdf).
on
average
MER Collections
The DDS’s collect MER information
from the claimant’s medical sources to
payments
based
on
SSA’s
current
FY
2020
data
(https://www.ssa.gov/legislation/
determine a claimant’s physical or
mental status prior to making a
disability determination.
Number of
respondents
Modality of completion
khammond on DSKJM1Z7X2PROD with NOTICES
DI
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
Paper Submissions ..............................
Electronic Submissions ........................
3,150,000
9,450,000
1
1
20
12
1,050,000
1,890,000
* $40.21
* 40.21
** $42,220,500
** 75,996,900
Totals ............................................
12,600,000
........................
........................
2,940,000
........................
** 118,217,400
* We based this figure on average Healthcare Practitioners and Technical Occupations hourly salary, as reported by Bureau of Labor Statistics
data (https://www.bls.gov/oes/current/oes290000.htm).
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Pain/Other Symptoms/Impairment
Information From Claimants
symptoms affect the claimant’s ability to
do work-related activities prior to
making a disability determination.
The DDS’s use information about
pain/symptoms to determine how pain/
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) **
Pain/Other Symptoms/Impairment Information ...................................................
2,100,000
1
20
700,000
* $18.23
** $12,761,000
* 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).
Grand Total
Modality of completion
Totals ................................................
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) **
17,740,000
........................
........................
4,501,999
........................
$162,347,466
** 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. Work History Report—20 CFR
404.1512, 416.912, 404.1560, 404.1565,
416.960 and 416.965—0960–0578.
Under certain circumstances, SSA asks
individuals applying for disability about
work they have performed in the past.
Number of
respondents
Modality of completion
medical evidence, to determine
eligibility for disability payments.
Respondents are disability applicants
and third parties assisting applicants.
Type of Request: Revision of an OMBapproved information collection.
Applicants use Form SSA–3369, Work
History Report, to provide detailed
information about jobs held prior to
becoming unable to work. State
Disability Determination Services (DDS)
evaluate the information, together with
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–3369 (Paper form) ............................
SSA–3369 (EDCS) ....................................
1,553,900
38,049
1
1
60
60
1,553,900
38,049
* $18.23
* 18.23
** 24
** 24
*** $39,658,636
*** 971,094
Totals .................................................
1,591,949
........................
........................
1,591,949
........................
........................
*** 40,629,730
* We based this figure by 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.
6. Teacher Questionnaire and Request
for Administrative Information—20 CFR
404.1513, 416.913, and 416.924a(a)—
0960–0646. When determining the
effects of a child’s impairment(s), SSA
obtains information about the child’s
Number of
respondents
Modality of completion
khammond on DSKJM1Z7X2PROD with NOTICES
functioning from teachers; parents; and
others who observe the child on a daily
basis. SSA obtains results of formal
testing, teacher reports, therapy progress
notes, individualized education
programs, and other records of a child’s
Frequency of
response
Average
burden per
response
(minutes)
educational aptitude and achievements
using Forms SSA–5665–BK and SSA–
5666. The respondents are parents,
teachers, and other education personnel.
Type of Request: Revision of an OMBapproved information collection.
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
SSA–5665–BK (electronic) ......................
SSA–5666 (electronic) .............................
246,539
91,186
1
1
40
30
164,359
45,593
* $26.14
* 26.14
** $4,296,344
** 1,191,801
Totals ................................................
337,725
........................
........................
209,952
........................
** 5,488,145
* We based this figure on average Elementary and Secondary School worker’s hourly wages, as reported by Bureau of Labor Statistics data
(https://www.bls.gov/oes/current/oes250000.htm).
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** 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. Electronic Records Express—20
CFR 404.1512 and 416.912—0960–0753.
Electronic Records Express (ERE) is a
Web-based SSA program which allows
medical and educational providers to
electronically submit disability claimant
data to SSA. Both medical providers
and other third parties with connections
to disability applicants or recipients
(e.g., teachers and school administrators
for child disability applicants) use this
system once they complete the
registration process. SSA employees and
State agency employees request the
medical and educational records
collected through the ERE website. The
agency uses the information collected
through ERE to make a determination on
an Application for Benefits. We also use
the ERE website to order and receive
consultative examinations when we are
unable to collect enough medical
records to determine disability findings.
The respondents are medical providers
who evaluate or treat disability
claimants or recipients, and other third
parties with connections to disability
applicants or recipients (e.g., Teachers
and school administrators for child
disability applicants), who voluntarily
choose to use ERE for submitting
information.
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) **
ERE ..........................................................
6,183,548
1
10
1,030,591
* $33.18
** $34,195,009
* We based this figure by averaging both the average Healthcare Practitioners and Technical Occupations (https://www.bls.gov/oes/current/
oes290000.htm), and Elementary and Secondary School worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://
www.bls.gov/oes/current/oes250000.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 Part D Subsidies
Regulations—20 CFR 418.3625(c),
418.3645, 418.3665(a), and 418.3670—
0960–0702. The Medicare Prescription
Drug Improvement and Modernization
Act (MMA) of 2003 established the
Medicare Part D program for voluntary
prescription drug coverage of premium,
deductible, and co-payment costs for
certain low-income individuals. The
MMA also mandated the provision of
subsidies for those individuals who
qualify for the program and who meet
eligibility criteria for help with
premium, deductible, or co-payment
costs. This law requires SSA to make
eligibility determinations, and to
provide a process for appealing SSA’s
determinations. Regulation sections
418.3625(c), 418.3645, 418.3665(a), and
Number of
respondents
Modality of completion
Frequency of
response
Average
burden per
response
(minutes)
418.3670 contain public reporting
requirements pertaining to
administrative review hearings.
Respondents are applicants for the
Medicare Part D subsidies who request
an administrative review hearing.
Type of Request: Revision of an
existing OMB-approved information
collection.
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) **
Total annual
opportunity
cost
(dollars) ***
418.3625(c) ..............................................
418.3645 ..................................................
418.3665(a) ..............................................
418.3670 * ................................................
110
10
215
0
1
1
1
1
5
5
5
10
9
1
18
0
** $10.73
** 10.73
** 10.73
........................
*** $97
*** 11
*** 193
........................
Total ..................................................
335
........................
........................
28
........................
*** 301
khammond on DSKJM1Z7X2PROD with NOTICES
* Regulation section 418.3670 could be used at any time; however, we currently have no data showing usage over the past three years.
** We based this figure on average DI payments (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.
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
VerDate Sep<11>2014
17:48 Oct 07, 2020
Jkt 253001
SSA–5072 is the employee’s personal
physician’s order form. The information
we collect on Form SSA–5072 gives the
nurses the guidance they need by law 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 treatment can be
PO 00000
Frm 00135
Fmt 4703
Sfmt 4703
administered 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.
E:\FR\FM\08OCN1.SGM
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Federal Register / Vol. 85, No. 196 / Thursday, October 8, 2020 / Notices
Number of
respondents
Modality of completion
Frequency of
response
Average
burden per
response
(minutes)
Number of
responses
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) ***
SSA–5072 Annually ......................................
SSA–5072 Bi-Annually ..................................
25
75
1
2
25
150
5
5
2
13
* $96.85
* 96.85
** $194
** 1,259
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.
II. SSA submitted the information
collections below to OMB for clearance.
Your comments regarding these
information collections would be most
useful if OMB and SSA receive them 30
days from the date of this publication.
To be sure we consider your comments,
we must receive them no later than
November 9, 2020. Individuals can
obtain copies of these OMB clearance
packages by writing to
OR.Reports.Clearance@ssa.gov.
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
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 SSA requests
through the paper Form SSA–7008,
OMB No. 0960–0029, Request for
Correction of Earnings Record. The
information we collect includes items
which support 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 account using the 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. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/
oes_nat.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; 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.
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 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–721 ..................................................
544,233
1
4
36,282
* $28.06
** $1,018,073
khammond on DSKJM1Z7X2PROD with NOTICES
* 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/oes_nat.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. Medicaid Use Report—20 CFR
416.268—0960–0267. Section 20 CFR
416.268 of the Code of Federal
Regulations requires SSA to determine
eligibility for: (1) Special SSI cash
payments and, (2) special SSI eligibility
status for a person who works despite a
disabling condition. Section 20 CFR
VerDate Sep<11>2014
17:48 Oct 07, 2020
Jkt 253001
416.268 also provides that, to qualify for
special SSI eligibility status, an
individual must establish that
termination of eligibility for benefits
under Title XIX of the Act would
seriously inhibit the ability to continue
employment. SSA employees collect the
information this regulation requires
PO 00000
Frm 00136
Fmt 4703
Sfmt 4703
from respondents during a personal
interview. We then use this information
to determine if an individual is entitled
to special Title XVI SSI payments and,
consequently, to Medicaid. The
respondents are SSI recipients for whom
SSA has stopped payments based on
earnings.
E:\FR\FM\08OCN1.SGM
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Federal Register / Vol. 85, No. 196 / Thursday, October 8, 2020 / Notices
Type of Request: Extension of an
OMB-approved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Average
wait time in
field office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
20 CFR 416.268 ............................................
60.000
1
3
3,000
* $10.73
** 24
*** $289,710
* 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. 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 ........................................................
5,000
2
1
167
* $25.76
** $4,302
* We based this figures 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/oes_nat.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
Dated: October 5, 2020.
Naomi Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2020–22297 Filed 10–7–20; 8:45 am]
BILLING CODE 4191–02–P
SURFACE TRANSPORTATION BOARD
[Docket No. FD 36436]
khammond on DSKJM1Z7X2PROD with NOTICES
Central Railroad Company of
Indianapolis—Lease and Operation
Exemption—Norfolk Southern Railway
Company
Central Railroad Company of
Indianapolis (CERA), a Class III railroad,
has filed a verified notice of exemption
pursuant to 49 CFR 1150.41 to continue
to lease and operate approximately 15.7
miles of rail line between milepost RK–
154.5, a point just east of the grade
crossing at 38th Street in Gas City, Grant
County, Ind., and milepost RK–138.8, at
the end of the leased line at Harford
City, Blackford County, Ind. (the Line).
CERA states that it has entered into an
amended lease (Amended Agreement)
with Norfolk Southern Railway
Company (NSR), the owner of the Line,
amending the existing lease (Current
Agreement) between those parties.1
1 See Cent. R.R. of Indianapolis—Lease &
Operation Exemption—Norfolk S. Ry., FD 35300
VerDate Sep<11>2014
17:48 Oct 07, 2020
Jkt 253001
Both the Amended Agreement and the
Current Agreement include operating
rights into Goodman Yard and any
sidings or sidetracks owned by NSR that
are accessed via the Line.
CERA states that it is the present
operator of the Line under the Current
Agreement. CERA states that the
Amended Agreement extends the term
of the lease until December 31, 2024 (or
until the Amended Agreement is
otherwise terminated in accordance
with its terms), and revises other
commercial provisions.2
CERA certifies that the Amended
Agreement does not include an
interchange commitment.
CERA certifies that its projected
revenues as a result of this transaction
will not exceed those that would qualify
it as a Class III carrier. CERA also
certifies that its revenues currently
exceed $5 million. Pursuant to 49 CFR
1150.42(e), if a carrier’s projected
annual revenues will exceed $5 million,
(STB served Oct. 21, 2009) (authorizing CERA to
lease and operate 15.9 miles of line).
2 Under the Amended Agreement, the Line will
end at milepost RK–138.8, making it 0.2 mile
shorter than the leased track under the Current
Agreement, which ends at milepost RK–138.6.
Although this notice reflects the modified mileage,
CERA retains a common carrier obligation to
operate between milepost RK–138.8 and milepost
RK–138.6 until it receives authority to discontinue
service over that section of track and consummates
that authority. See Thompson v. Tex. Mexican Ry.,
328 U.S. 134 (1946).
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Frm 00137
Fmt 4703
Sfmt 4703
it must, at least 60 days before the
exemption becomes effective, post a
notice of its intent to undertake the
proposed transaction at the workplace
of the employees on the affected lines,
serve a copy of the notice on the
national offices of the labor unions with
employees on the affected lines, and
certify to the Board that it has done so.
However, CERA’s verified notice
includes a request for waiver of the 60day advance labor notice requirements.
CERA’s waiver request will be
addressed in a separate decision. The
Board will establish the effective date of
the exemption in its separate decision
on the waiver request.
If the verified notice contains false or
misleading information, the exemption
is void ab initio. Petitions to revoke the
exemption under 49 U.S.C. 10502(d)
may be filed at any time. The filing of
a petition to revoke will not
automatically stay the effectiveness of
the exemption. Petitions for stay must
be filed no later than October 15, 2020.
All pleadings, referring to Docket No.
FD 36436, must be filed with the
Surface Transportation Board either via
e-filing or in writing addressed to 395 E
Street SW, Washington, DC 20423–0001.
In addition, a copy of each pleading
must be served on CERA’s
representative, Eric M. Hocky, Clark Hill
PLC, Two Commerce Square, 2001
E:\FR\FM\08OCN1.SGM
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]]>Agencies
[Federal Register Volume 85, Number 196 (Thursday, October 8, 2020)]
[Notices]
[Pages 63630-63636]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-22297]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2020-0053]
Agency Information Collection Activities: Proposed Request and
Comment Request
The Social Security Administration (SSA) publishes a list of
information collection packages requiring clearance by the Office of
Management and Budget (OMB) in compliance with Public Law 104-13, the
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice
includes revisions and one extension 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-2020-0053].
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
December 7, 2020. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Disability Report-Appeal--20 CFR 404.1512, 416.912, 404.916(c),
416.1416(c), 422.140, 404.1713, 416.1513, 404.1740(b)(4), and
416.1540(b)(4)--0960-0144. SSA requires disability applicants who wish
to appeal an unfavorable determination to complete Form SSA-3441-BK;
the associated Electronic Disability Collect System (EDCS) interview;
or the internet application, i3441. This allows claimants to disclose
any changes to their disability, or resources, which might influence
SSA's unfavorable determination. SSA may use the information to: (1)
Reconsider and review an initial disability determination; (2) review a
continuing disability; and (3) evaluate a request for a hearing. This
information assists the State Disability Determination Services (DDS)
and administrative law judges (ALJ) in preparing for the appeals and
hearings, and in issuing a determination or decision on an individual's
entitlement (initial or continuing) to disability benefits. In
addition, the information we collect on the SSA-3441-BK, or related
modalities, facilitates SSA's collection of medical information to
support the applicant's request for reconsideration; request for
benefits cessation appeal; and request for a hearing before an ALJ.
Respondents are individuals who appeal denial, reduction, or cessation
of Social Security disability benefits and Supplemental Security Income
(SSI) payments; individuals who wish to request a hearing before an
ALJ; or their representatives.
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-3441-BK (Paper Form).............. 22,556 1 45 16,917 * $18.22 ** 24 *** $472,609
Electronic Disability Collect System 208,831 1 45 156,623 * 10.73 ** 24 *** 2,576,863
(EDCS)--Individuals..................
Electronic Disability Collect System 71,652 1 45 53,739 * 25.72 .............. *** 1,382,167
(EDCS)--Representatives..............
i3441 (Internet Application)-- 109,598 1 28 51,146 * 10.73 .............. *** 548,797
Individuals..........................
i3441 (Internet Application)-- 656,424 1 28 306,331 * 25.72 .............. *** 7,878,833
Representatives......................
-----------------------------------------------------------------------------------------------------------------
Totals............................ 1,069,061 .............. .............. 584,756 .............. .............. *** 12,859,269
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average DI hourly wages for single students based on SSA's current FY 2020 data (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf), and on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes231011.htm), as well as a combination of those two figures (for the paper form, as we do not collect data on whether the paper forms are filled out
by individuals or representatives or both).
** We based this figure on the average FY 2020 wait times for field offices, based on our current management information data.
*** This figure does not represent actual costs that we are 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. Annual Earnings Test Direct Mail Follow-Up Program Notices--20
CFR 404.452-404.455--0960-0369. SSA developed the Annual Earnings Test
Direct Mail Follow-up Program to improve beneficiary reporting on work
and earnings during the year and earnings information at the end of the
year. SSA may reduce benefits payable under the Social Security Act
(Act) when an individual has wages or self-employment income exceeding
the annual exempt amount. SSA identifies beneficiaries likely to
receive more than the annual exempt amount, and requests more frequent
estimates of earnings from them. When applicable, SSA also requests a
future year estimate to reduce overpayments due to earnings. SSA sends
letters (SSA-L9778, SSA-L9779, SSA-L9781, SSA-L9784, SSA-L9785, and
SSA-L9790) to beneficiaries requesting earnings information the month
prior to their attainment of full retirement age. We send each
beneficiary a tailored letter that includes relevant earnings data from
SSA records. The Annual Earnings Test Direct Mail Follow-up Program
helps to ensure Social Security payments are correct, and enables us to
prevent earnings-related overpayments, and avoid erroneous withholding.
The
[[Page 63631]]
respondents are working Social Security beneficiaries with earnings
over the exempt amount.
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 cost
respondents response (minutes) burden (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-L9778............................................. 42,630 1 10 7,105 $25.72 ** $182,741
SSA-L9779............................................. 158,865 1 10 26,478 25.72 ** 681,014
SSA-L9781............................................. 472,437 1 10 78,740 25.72 ** 2,025,193
SSA-L9784............................................. 1,270 1 10 212 25.72 ** 5,453
SSA-L9785............................................. 15,870 1 10 2,645 25.72 ** 68,029
SSA-L9790............................................. 45,000 1 10 7,500 25.72 ** 192,900
-------------------------------------------------------------------------------------------------
Totals............................................ 736,072 .............. .............. 122,680 .............. ** 3,155,330
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on the average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes231011.htm).
** This figure does not represent actual costs that we are 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. Request for Social Security Earnings Information--20 CFR 401.100
and 404.810--0960-0525. The Act permits wage earners, or their
authorized representatives, to request Social Security earnings
information from SSA using Form SSA-7050-F4. SSA uses the information
the respondent provides on Form SSA-7050-F4 to verify the wage earner
has: (1) Earnings; (2) the right to access the correct Social Security
Record; and (3) the right to request the earnings statement. If we
verify all three items, SSA produces an Itemized Statement of Earnings
(Form SSA-1826) and sends it to the requestor. The agency charges
respondents for sending them an Itemized Statement of Earnings.
Respondents are wage earners and their authorized representatives who
are requesting Itemized Statement of Earnings records.
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-7050-F4....................................... 66,800 1 11 12,247 * $25.72 ** $314,993
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this on the average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm).
** 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.
Cost Burden to Respondents: The agency charges respondents to send
them an Itemized Statement of Earnings for purposes unrelated to the
administration of our programs. The chart below shows the costs to the
respondents for this request:
----------------------------------------------------------------------------------------------------------------
Total annual
Type of respondent Number of Cost per cost to
requests request respondent
----------------------------------------------------------------------------------------------------------------
Non-Certified Copy Respondent................................... 33,400 $92.00 $3,072,800
Certified Copy Respondent....................................... 33,400 122.00 4,074,800
-----------------------------------------------
Total....................................................... .............. .............. 7,147,600
----------------------------------------------------------------------------------------------------------------
4. Disability Case Development Information Collections By State
Disability Determination Services On Behalf of SSA--20 CFR 404.1503a,
404.1512, 404.1513, 404.1514, 404.1517, 404.1519; 20 CFR 404.1613,
404.1614, 404.1624; 20 CFR 416.903a, 416.912, 416.913, 416.914,
416.917, 416.919 and 20 CFR 416.1013, 416.1014, 416.1024--0960-0555.
DDSs collect the information necessary to administer the Social
Security Disability Insurance and SSI programs. They collect medical
evidence from consultative examination (CE) sources; credential
information from CE source applicants; and medical evidence of record
(MER) from claimants' medical sources. In addition, the DDSs collect
information from claimants regarding medical appointments, pain,
symptoms, and impairments. The respondents are medical providers, other
sources of MER, and disability claimants.
Type of Request: Revision of an OMB-approved information
collection.
CE Collections
There are four CE information collections: (a) Medical evidence
about
[[Page 63632]]
claimants' medical condition(s) that DDS's use to make disability
determinations when the claimant's own medical sources cannot or will
not provide the required information, and proof of credentials from CE
providers; (b) CE appointment letters; (c) CE claimant reports sent to
claimants' doctors; and (d) One-time CE claimant telehealth call
script/letter.
(a) Medical Evidence and Credentials From CE Providers
--------------------------------------------------------------------------------------------------------------------------------------------------------
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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
CE Paper Submissions.................................... 1,400,000 1 30 700,000 * $40.21 ** $28,147,000
CE Electronic Submissions............................... 296,000 1 10 49,333 * 40.21 ** 1,983,680
CE Credentials.......................................... 4,000 1 15 1,000 * 40.21 ** 40,210
-----------------------------------------------------------------------------------------------
Totals.............................................. 1,700,000 .............. .............. 750,333 .............. ** 30,170,890
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average Healthcare Practitioners and Technical Occupations hourly salary, as reported by Bureau of Labor Statistics data
(https://www.bls.gov/oes/current/oes290000.htm).
(b) CE Appointment Letters and (c) CE Claimants' Report to Medical
Providers
--------------------------------------------------------------------------------------------------------------------------------------------------------
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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
(b) CE Appointment Letters.............................. 880,000 1 5 73,333 * $10.73 ** $786,863
(c) CE Claimants' Report to Medical Providers........... 450,000 1 5 37,500 * 10.73 ** 402,375
-----------------------------------------------------------------------------------------------
Totals.............................................. 1,330,000 .............. .............. 110,833 .............. ** 1,189,238
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments based on SSA's current FY 2020 data (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf).
(d) CE Claimant Telehealth CE Call Script/Letter
--------------------------------------------------------------------------------------------------------------------------------------------------------
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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
CE Claimant Telehealth Call Script/Letter......... 10,000 1 5 833 * $10.73 ** $8,938
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments based on SSA's current FY 2020 data (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf).
MER Collections
The DDS's collect MER information from the claimant's medical
sources to determine a claimant's physical or mental status prior to
making a disability determination.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Total annual
Modality of completion Number of Frequency of per response total annual hourly cost opportunity cost
respondents response (minutes) burden (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
Paper Submissions..................................... 3,150,000 1 20 1,050,000 * $40.21 ** $42,220,500
Electronic Submissions................................ 9,450,000 1 12 1,890,000 * 40.21 ** 75,996,900
-------------------------------------------------------------------------------------------------
Totals............................................ 12,600,000 .............. .............. 2,940,000 .............. ** 118,217,400
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average Healthcare Practitioners and Technical Occupations hourly salary, as reported by Bureau of Labor Statistics data
(https://www.bls.gov/oes/current/oes290000.htm).
[[Page 63633]]
Pain/Other Symptoms/Impairment Information From Claimants
The DDS's use information about pain/symptoms to determine how
pain/symptoms affect the claimant's ability to do work-related
activities prior to making a disability determination.
--------------------------------------------------------------------------------------------------------------------------------------------------------
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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Pain/Other Symptoms/Impairment Information........ 2,100,000 1 20 700,000 * $18.23 ** $12,761,000
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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).
Grand Total
--------------------------------------------------------------------------------------------------------------------------------------------------------
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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Totals........................................ 17,740,000 ............... ............... 4,501,999 ............... $162,347,466
--------------------------------------------------------------------------------------------------------------------------------------------------------
** 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. Work History Report--20 CFR 404.1512, 416.912, 404.1560,
404.1565, 416.960 and 416.965--0960-0578. Under certain circumstances,
SSA asks individuals applying for disability about work they have
performed in the past. Applicants use Form SSA-3369, Work History
Report, to provide detailed information about jobs held prior to
becoming unable to work. State Disability Determination Services (DDS)
evaluate the information, together with medical evidence, to determine
eligibility for disability payments. Respondents are disability
applicants and third parties assisting applicants.
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-3369 (Paper form)................. 1,553,900 1 60 1,553,900 * $18.23 ** 24 *** $39,658,636
SSA-3369 (EDCS)....................... 38,049 1 60 38,049 * 18.23 ** 24 *** 971,094
-----------------------------------------------------------------------------------------------------------------
Totals............................ 1,591,949 .............. .............. 1,591,949 .............. .............. *** 40,629,730
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure by 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.
6. Teacher Questionnaire and Request for Administrative
Information--20 CFR 404.1513, 416.913, and 416.924a(a)--0960-0646. When
determining the effects of a child's impairment(s), SSA obtains
information about the child's functioning from teachers; parents; and
others who observe the child on a daily basis. SSA obtains results of
formal testing, teacher reports, therapy progress notes, individualized
education programs, and other records of a child's educational aptitude
and achievements using Forms SSA-5665-BK and SSA-5666. The respondents
are parents, teachers, and other education personnel.
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-5665-BK (electronic)................................ 246,539 1 40 164,359 * $26.14 ** $4,296,344
SSA-5666 (electronic)................................... 91,186 1 30 45,593 * 26.14 ** 1,191,801
-----------------------------------------------------------------------------------------------
Totals.............................................. 337,725 .............. .............. 209,952 .............. ** 5,488,145
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average Elementary and Secondary School worker's hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes250000.htm).
[[Page 63634]]
** 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. Electronic Records Express--20 CFR 404.1512 and 416.912--0960-
0753. Electronic Records Express (ERE) is a Web-based SSA program which
allows medical and educational providers to electronically submit
disability claimant data to SSA. Both medical providers and other third
parties with connections to disability applicants or recipients (e.g.,
teachers and school administrators for child disability applicants) use
this system once they complete the registration process. SSA employees
and State agency employees request the medical and educational records
collected through the ERE website. The agency uses the information
collected through ERE to make a determination on an Application for
Benefits. We also use the ERE website to order and receive consultative
examinations when we are unable to collect enough medical records to
determine disability findings. The respondents are medical providers
who evaluate or treat disability claimants or recipients, and other
third parties with connections to disability applicants or recipients
(e.g., Teachers and school administrators for child disability
applicants), who voluntarily choose to use ERE for submitting
information.
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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
ERE............................................... 6,183,548 1 10 1,030,591 * $33.18 ** $34,195,009
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure by averaging both the average Healthcare Practitioners and Technical Occupations (https://www.bls.gov/oes/current/oes290000.htm),
and Elementary and Secondary School worker's hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes250000.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 Part D Subsidies Regulations--20 CFR 418.3625(c),
418.3645, 418.3665(a), and 418.3670--0960-0702. The Medicare
Prescription Drug Improvement and Modernization Act (MMA) of 2003
established the Medicare Part D program for voluntary prescription drug
coverage of premium, deductible, and co-payment costs for certain low-
income individuals. The MMA also mandated the provision of subsidies
for those individuals who qualify for the program and who meet
eligibility criteria for help with premium, deductible, or co-payment
costs. This law requires SSA to make eligibility determinations, and to
provide a process for appealing SSA's determinations. Regulation
sections 418.3625(c), 418.3645, 418.3665(a), and 418.3670 contain
public reporting requirements pertaining to administrative review
hearings. Respondents are applicants for the Medicare Part D subsidies
who request an administrative review hearing.
Type of Request: Revision of an existing 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) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
418.3625(c)............................................. 110 1 5 9 ** $10.73 *** $97
418.3645................................................ 10 1 5 1 ** 10.73 *** 11
418.3665(a)............................................. 215 1 5 18 ** 10.73 *** 193
418.3670 *.............................................. 0 1 10 0 .............. ..............
-----------------------------------------------------------------------------------------------
Total............................................... 335 .............. .............. 28 .............. *** 301
--------------------------------------------------------------------------------------------------------------------------------------------------------
* Regulation section 418.3670 could be used at any time; however, we currently have no data showing usage over the past three years.
** We based this figure on average DI payments (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.
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 nurses the guidance they need by law 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 treatment can be
administered 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.
[[Page 63635]]
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Total annual
Modality of completion Number of Frequency of Number of per response total annual hourly cost opportunity
respondents response responses (minutes) burden (hours) amount cost (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
---------------------------------------------------------------------------------------------------------------
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.
II. SSA submitted the information collections below to OMB for
clearance. Your comments regarding these information collections would
be most useful if OMB and SSA receive them 30 days from the date of
this publication. To be sure we consider your comments, we must receive
them no later than November 9, 2020. Individuals can obtain copies of
these OMB clearance packages by writing to
[email protected].
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 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 SSA requests through the paper Form SSA-
7008, OMB No. 0960-0029, Request for Correction of Earnings Record. The
information we collect includes items which support 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 account using the 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. worker's hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; 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/oes_nat.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. Medicaid Use Report--20 CFR 416.268--0960-0267. Section 20 CFR
416.268 of the Code of Federal Regulations requires SSA to determine
eligibility for: (1) Special SSI cash payments and, (2) special SSI
eligibility status for a person who works despite a disabling
condition. Section 20 CFR 416.268 also provides that, to qualify for
special SSI eligibility status, an individual must establish that
termination of eligibility for benefits under Title XIX of the Act
would seriously inhibit the ability to continue employment. SSA
employees collect the information this regulation requires from
respondents during a personal interview. We then use this information
to determine if an individual is entitled to special Title XVI SSI
payments and, consequently, to Medicaid. The respondents are SSI
recipients for whom SSA has stopped payments based on earnings.
[[Page 63636]]
Type of Request: Extension 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) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
20 CFR 416.268................... 60.000 1 3 3,000 * $10.73 ** 24 *** $289,710
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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. 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............................................. 5,000 2 1 167 * $25.76 ** $4,302
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figures 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/oes_nat.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
Dated: October 5, 2020.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2020-22297 Filed 10-7-20; 8:45 am]
BILLING CODE 4191-02-P
