Agency Information Collection Activities: Proposed Request, 667-671 [2020-29207]

Download as PDF Federal Register / Vol. 86, No. 3 / Wednesday, January 6, 2021 / Notices For the Commission, by the Division of Trading and Markets, pursuant to delegated authority.21 J. Matthew DeLesDernier, Assistant Secretary. 1. Retaining Employment and Talent After Injury/Illness Network (RETAIN)— 0960–NEW. [FR Doc. 2020–29284 Filed 1–5–21; 8:45 am] The Social Security Administration (SSA) and the U.S. Department of Labor (DOL) are undertaking the Retaining Employment and Talent After Injury/ Illness Network (RETAIN) demonstration. The RETAIN demonstration will test the impact of early intervention strategies to improve stay-at-work/return-to-work (SAW/ RTW) outcomes of individuals who experience work disability while employed. We define ‘‘work disability’’ as an injury, illness, or medical condition that has the potential to inhibit or prevent continued employment or labor force participation. SAW/RTW programs succeed by returning injured or ill workers to productive work as soon as medically possible during their recovery process, and by providing interim part-time or light duty work and accommodations, as necessary. The RETAIN demonstration is loosely modeled after promising programs operating in Washington State, including the Centers of Occupational Health and Education (COHE), the Early Return to Work (ERTW), and the Stay at Work programs. While these programs operate within the state’s workers’ compensation system, and are available only to people experiencing work-related injuries or illnesses, the RETAIN demonstration provides opportunities to improve SAW/RTW outcomes for both occupational and non-occupational injuries and illnesses of people who are employed, or at a minimum in the labor force, when their injury or illness occurs. The primary goals of the RETAIN demonstration are: 1. To increase employment retention and labor force participation of individuals who acquire, or are at risk of developing, work disabilities; and 2. To reduce long-term work disability among RETAIN service users, including the need for Social Security Disability Insurance and Supplemental Security Income. The ultimate purpose of the demonstration is to validate and expand implementation of evidence-based strategies to accomplish these goals. DOL is funding the intervention approaches and programmatic technical assistance for the demonstration. SSA is funding evaluation support, including technical assistance and the full evaluation for the demonstration. BILLING CODE 8011–01–P SOCIAL SECURITY ADMINISTRATION [Docket No: SSA–2020–0067] jbell on DSKJLSW7X2PROD with NOTICES Agency Information Collection Activities: Proposed Request The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104–13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes new information collections, and 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 Comments: https://www.reginfo.gov/ public/do/PRAMain. Submit your comments online, referencing Docket ID Number [SSA–2020–0067]. (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 https://www.reginfo.gov/ public/do/PRAMain, referencing Docket ID Number [SSA–2020–0067]. 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 March 8, 2021. Individuals can obtain copies of the collection instruments by writing to the above email address. 21 17 CFR 200.30–3(a)(12). VerDate Sep<11>2014 19:08 Jan 05, 2021 Jkt 253001 Background PO 00000 Frm 00168 Fmt 4703 Sfmt 4703 667 Project Description The demonstration consists of two phases. The first involves the implementation and assessment of cooperative awards to eight states to conduct planning and start-up activities, including the launch of a small pilot demonstration. During phase 1, SSA will provide evaluation-related technical assistance and planning, and conduct evaluability assessments to assess which states’ projects would allow for a rigorous evaluation if continued beyond the pilot phase. DOL will select a subset of the states to continue to phase 2, full implementation. Phase 2 will include a subset of states for full implementation and evaluation. During phase 2, DOL will fund the operations and program technical assistance activities for the recommended states, and SSA will fund the full set of evaluation activities. SSA is requesting clearance for the collection of data needed to implement and evaluate RETAIN. The four components of this evaluation, completed during site visits, interviews with RETAIN service users, surveys of RETAIN enrollees, and surveys of RETAIN service providers, include: • The participation analysis: Using RETAIN service user interviews and surveys, this analysis will provide insights into which eligible workers choose to participate in the program, in what ways they participate, and how services received vary with participant characteristics. Similarly, it will assess the characteristics of, and if possible, reasons for non-enrollment of nonparticipants. • The process analysis: Using staff interviews and logs, this analysis will produce information about operational features that affect service provision; perceptions of the intervention design by service users, providers, administrators, and other stakeholders; the relationships among the partner organizations; each program’s fidelity to the research design; and lessons for future programs with similar objectives. • The impact analysis: This analysis will produce estimates of the effects of the interventions on primary outcomes, including employment and Social Security disability applications, and secondary outcomes, such as health and service usage. SSA will identify evaluation designs for each state to generate impact estimates. The evaluation design could include experimental or non-experimental designs. • The cost-benefit analysis: This analysis will assess whether the benefits E:\FR\FM\06JAN1.SGM 06JAN1 668 Federal Register / Vol. 86, No. 3 / Wednesday, January 6, 2021 / Notices of RETAIN justify its costs. We conduct this assessment from a range of perspectives, including those of the participants, state and Federal governments, SSA, and society as a whole. The proposed data collections to support these analyses include qualitative and quantitative data. At this time, SSA requests clearance for all of these data collection activities. The qualitative data collection consists of: (1) Semi-structured interviews with program staff and service users; and (2) staff activity logs. The program staff will complete interviews during two rounds of site visits. They will focus on staff’s perceptions of the successes and challenges of implementing each state’s program. The staff activity logs will house information on staff’s time to inform the benefit-cost analysis. The service user interviews will inform SSA’s understanding of users’ experiences with program services. The quantitative data include SSA’s program records and survey data. The survey Number of respondents Modality of completion Average burden per response (minutes) Frequency of response data collection consists of: (1) Two rounds of follow-up surveys, focusing on individual-level outcomes, with enrollees, all of whom who have experienced a disability onset; and (2) two rounds of surveys with RETAIN providers. The respondents are staff members selected for staff interviews and staff activity logs, and RETAIN service users, enrollees, and providers. Type of Request: Request for a new information collection. Average theoretical hourly cost amount (dollars) * Estimated total annual burden (hours) Average wait time in field office (minutes) ** Total annual opportunity cost (dollars) *** RETAIN 2021 Burden Figures Enrollee Survey Round 1 (Respondents) ..... Enrollee Survey Round 1 (Nonrespondents) 320 80 1 1 15 3 80 4 * $25.72 * 25.72 ** 24 ** 24 *** $5,350 *** 926 Totals ..................................................... 400 ........................ ........................ 84 ........................ ........................ *** 6,276 RETAIN 2022 Burden Figures Staff Interviews (state administrators/directors) ............................................................ Staff Interviews (program line staff) .............. Service User Interviews (Respondents) ....... Service User Interviews (Nonrespondents) .. Staff Activity Logs (state administrators/directors) ....................................................... Staff Activity Logs (program line staff) .......... Enrollee Survey Round 1 (Respondents) ..... Enrollee Survey Round 1 (Nonrespondents) Enrollee Survey Round 2 (Respondents) ..... Enrollee Survey Round 2 (Nonrespondents) Provider Survey Round 2 (Respondents) ..... Provider Survey Round 2 (Nonrespondents) 4 72 60 540 1 1 1 1 105 75 36 6 7 90 36 54 * 45.23 * 32.58 * 25.72 * 25.72 24 ** 24 ** 24 ** 24 *** 407 *** 3,870 *** 1,543 *** 6,945 4 48 3,840 960 960 240 320 80 1 1 1 1 1 1 1 1 70 70 15 3 21 3 17 3 5 56 960 48 336 12 91 4 * 45.23 32.58 * 25.72 * 25.72 25.72 25.72 * 32.58 * 32.58 ** 24 ** 24 ** 24 ** 24 ** 24 24 ** 24 ** 24 *** 298 *** 2,450 *** 64,197 *** 11,111 *** 18,518 *** 2,778 *** 7,135 *** 1,173 Totals ..................................................... 7,128 ........................ ........................ 1,699 ........................ ........................ *** 120,425 RETAIN 2023 Burden Figures Enrollee Survey Round 1 (Respondents) ..... Enrollee Survey Round 1 (Nonrespondents) Enrollee Survey Round 2 (Respondents) ..... Enrollee Survey Round 2 (Nonrespondents) Provider Survey Round 2 (Respondents) ..... Provider Survey Round 2 (Nonrespondents) 3,840 960 3,840 960 320 80 1 1 1 1 1 1 15 3 21 3 17 3 960 48 1,344 48 91 4 * 25.72 25.72 * 25.72 * 25.72 * 32.58 * 32.58 ** 24 24 ** 24 ** 24 ** 24 ** 24 *** 64,197 *** 11,111 *** 74,074 *** 11,111 *** 7,135 *** 1,173 Totals ..................................................... 10,000 ........................ ........................ 2,495 ........................ ........................ *** 168,801 RETAIN 2024 Burden Figures Enrollee Enrollee Enrollee Enrollee Survey Survey Survey Survey Round Round Round Round 1 1 2 2 (Respondents) ..... (Nonrespondents) (Respondents) ..... (Nonrespondents) 1,600 400 3,840 960 1 1 1 1 15 3 21 3 400 20 1,344 48 * 25.72 * 25.72 * 25.72 * 25.72 ** 24 ** 24 ** 24 ** 24 *** 26,749 *** 4,629 *** 74,074 *** 11,111 Totals ..................................................... 6,800 ........................ ........................ 1,812 ........................ ........................ *** 116,563 RETAIN 2025 Burden Figures Enrollee Survey Round 2 (Respondents) ..... Enrollee Survey Round 2 (Nonrespondents) 960 240 1 1 21 3 336 12 * 25.72 * 25.72 ** 24 ** 24 *** 18,518 *** 2,778 Totals ..................................................... 1,200 ........................ ........................ 348 ........................ ........................ *** 21,296 6,438 ........................ ........................ *** 433,361 jbell on DSKJLSW7X2PROD with NOTICES RETAIN Grand Total Burden Figures Totals ..................................................... 25,528 ........................ ........................ * We based these figures on average U.S. citizen’s hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm), and average local Government Management and staff hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes110000.htm) & (https://www.bls.gov/oes/current/oes131071.htm). ** We based this figure on the average FY 2020 wait times for field offices, based on SSA’s current management information data. *** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to respondents to complete the application. VerDate Sep<11>2014 19:08 Jan 05, 2021 Jkt 253001 PO 00000 Frm 00169 Fmt 4703 Sfmt 4703 E:\FR\FM\06JAN1.SGM 06JAN1 669 Federal Register / Vol. 86, No. 3 / Wednesday, January 6, 2021 / Notices 2. Internet and Telephone Appointment Applications—20 CFR 404.620–404.630, and 416.330– 416.340—0960–NEW. SSA offers both internet and telephone appointment options for individuals who wish to request an appointment when they are unable to complete one of SSA’s online or automated telephone applications because they failed the initial verification checks,—or who state their reading language preference is other than English. iAppointment: iAppointment is an online process that allows members of the public an easy-to-use method to schedule an appointment with the servicing office of their choice. Since the application date can affect when a claimant’s benefit begins, iAppointment establishes a protective filing date and provides respondents information related to the date by which they must file their actual application. The iAppointment application propagates information the applicant already entered onto any of SSA’s internet applications for SSN, name, date of birth, and gender. Applicants must provide minimal additional information: Mailing address; telephone number; language preference; type of appointment (Disability, Retirement, Medicare); and whether they prefer a telephone interview or in-office appointment. iAppointment is a customer-centric application. If the available appointment times do not meet the customer’s needs, iAppointment allows the user to enter a different zip code to identify another field office, which may offer different appointment times. At this time, SSA only allows domestic first party applicants to use iAppointment. If users indicate they are filing as third parties, iAppointment provides a message directing them to call the National 800 Number for assistance. If a foreign first party user is unable to complete iClaim, iAppointment directs them to contact a Social Security representative, and provides a link to SSA’s Service Around the World website. Enhanced Leads and Appointment System (eLAS): eLAS is an Intranetbased version of the iAppointment screens for use by SSA technicians both Number of respondents Modality of completion Average burden per response (minutes) Frequency of response in the field offices and call centers. eLAS interacts with iAppointment to ensure we always record the same information whether an individual requests an appointment through our internet screens or via telephone. eLAS is a non-public facing system that allows SSA employees in the field offices, workload support units, and teleservice centers to use an telephone interview process to schedule appointments and document an individual’s intent to file using a script and asking the same questions to each individual. We use eLAS with individuals who use our automated telephone system or who prefer not to use iAppointment to set up their appointment. The respondents are individuals who are unable to use our internet or automated telephone systems because they failed the initial verification checks; or because they state their reading language preference is other than English. Type of Request: Request for a new information collection. Average theoretical hourly cost amount (dollars) * Estimated total annual burden (hours) Average combined wait time in field office or for teleservice center (minutes) ** Total annual opportunity cost (dollars) *** iAppointment ................................................. eLAS .............................................................. 17,621 5,157,780 1 1 10 10 2,937 859,630 * $25.72 * 25.72 ........................ ** 21 *** $75,540 *** 68,540,019 Totals ..................................................... 5,175,401 ........................ ........................ 862,567 ........................ ........................ *** 68,615,559 * We based these figures on average U.S. worker’s hourly wages (based on BLS.gov data, https://www.bls.gov/oes/current/oes_nat.htm). ** We based this figure on the combined average FY 2020 wait times for field offices (approximately 24 minutes per respondent) and teleservice centers (approximately 17 minutes per respondent), 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. Statement of Living Arrangements, In-Kind Support, and Maintenance—20 CFR 416.1130–416.1148—0960–0174. SSA determines Supplemental Security Income (SSI) payment amounts based on individuals’ needs. We measure individuals’ needs, in part, by the amount of income they receive, Number of respondents Modality of completion jbell on DSKJLSW7X2PROD with NOTICES including in-kind support and maintenance in the form of food and shelter provided by other persons. SSA uses Form SSA–8006 to determine if inkind support and maintenance exists for SSI applicants and recipients. This information also assists SSA in determining the income value of in-kind Average burden per response (minutes) Frequency of response support and maintenance. The respondents are individuals who apply for SSI payments, or who complete an SSI eligibility redetermination. Type of Request: Revision of an OMBapproved information collection. Average theoretical hourly cost amount (dollars) * Estimated total annual burden (hours) Average combined wait time in field office or for teleservice center (minutes) ** Total annual opportunity cost (dollars) *** SSA–8006—Intranet version (SSI Claims System) ...................................................... SSA—8006–Paper version ........................... 109,436 12,160 1 1 7 7 12,768 1,419 * $10.73 * 10.73 ** 17 ** 24 *** $469,706 *** 67,417 Totals ..................................................... 121,596 ........................ ........................ 14,187 ........................ ........................ *** 537,123 * 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 (24 minutes) and wait times for teleservice centers (17 minutes), based on SSA’s current management information data. VerDate Sep<11>2014 19:08 Jan 05, 2021 Jkt 253001 PO 00000 Frm 00170 Fmt 4703 Sfmt 4703 E:\FR\FM\06JAN1.SGM 06JAN1 670 Federal Register / Vol. 86, No. 3 / Wednesday, January 6, 2021 / 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. 4. Statement of Funds You Provided to Another and Statement of Funds You Received—20 CFR 416.1103(f)—0960– 0481. SSA uses Forms SSA–2854 (Statement of Funds You Provided to Another) and SSA–2855 (Statement of Funds You Received) to gather information to verify if a loan is bona fide for SSI recipients. The SSA–2854 asks the lender for details on the transaction, and Form SSA–2855 asks the borrower the same basic questions independently. Agency personnel then compare the two statements, gather evidence if needed, and make a decision Number of respondents Modality of completion SSA collects this information at the time of initial application for SSI, or at any point when an individual alleges being party to an informal loan while receiving SSI. SSA collects information on the informal loan through both interviews and mailed forms. The agency’s field personnel conduct the interviews and mail the form(s) for completion, as needed. The respondents are SSI recipients and applicants, and individuals who lend money to them. Type of Request: Revision of an OMBapproved information collection. on the validity of the bona fide status of the loan. For SSI purposes, we consider a loan bona fide if it meets these requirements: • Must be between a borrower and lender with the understanding that the borrower has an obligation to repay the money; • Must be in effect at the time the cash goes to the borrower, that is, the agreement cannot come after the cash is paid; and • Must be enforceable under State law, as often there are additional requirements from the State. Average burden per response (minutes) Frequency of response Average theoretical hourly cost amount (dollars) * Estimated total annual burden (hours) Average combined wait time in field office or for teleservice center (minutes) ** Total annual opportunity cost (dollars) ** SSA–2854 ..................................................... SSA–2855 ..................................................... 20,000 20,000 1 1 15 15 5,000 5,000 * $25.72 * 25.72 ** 24 ** 24 *** $334,360 *** 334,360 Totals ..................................................... 40,000 ........................ ........................ 10,000 ........................ ........................ *** 668,720 * We based this figure on average U.S. citizen’s hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_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. Medicare Subsidy Quality Review Forms—20 CFR part 418—0960–0707. The Medicare Modernization Act of 2003 mandated the creation of the Medicare Part D prescription drug coverage program and provides certain subsidies for eligible Medicare beneficiaries to help pay for the cost of Number of respondents Modality of completion SSA–9301 (Medicare Subsidy Quality Review Case Analysis Form ...................................................................................... SSA–9302 (Notice of Quality Review Acknowledgment Form for those with Phones) .......................................................... SSA–9303 (Notice of Quality Review Acknowledgment Form for those without Phones) ..................................................... SSA–9308 (Request for Information) ........................................ SSA–9310 (Request for Documents) ....................................... SSA–9311 (Notice of Appointment—Denial—Reviewer Will Call) ....................................................................................... SSA–9312 (Notice of Appointment—Denial—Please Call Reviewer) ................................................................................... SSA–9313 (Notice of Quality Review Acknowledgment Form for those with Phones) .......................................................... SSA–9314 (Notice of Quality Review Acknowledgement Form for those without Phones) ..................................................... jbell on DSKJLSW7X2PROD with NOTICES conduct these checks. The respondents are applicants for the Medicare Part D subsidy whom SSA chose to undergo a quality review. Type of Request: Revision of an OMBapproved information collection. prescription drugs. As part of its stewardship duties of the Medicare Part D subsidy program, SSA must conduct periodic quality review checks of the information Medicare beneficiaries report on their subsidy applications (Form SSA–1020). SSA uses the Medicare Quality Review program to Total ................................................................................... Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) Average theoretical hourly cost amount (dollars) * Total annual opportunity cost (dollars) *** 3,500 1 30 1,750 * $40.64 ** $71,120 3,500 1 15 875 * 25.72 ** 22,505 350 7,000 3,500 1 1 1 15 15 5 88 1,750 292 * 25.72 * 25.72 * 25.72 ** 2,263 ** 45,010 ** 7,510 450 1 15 113 * 25.72 ** 2,906 50 1 15 13 * 25.72 ** 334 2,500 1 15 625 * 25.72 ** 16,075 500 1 15 125 * 25.72 ** 3,215 21,350 ........................ ........................ 5,631 ........................ ** 170,938 * We based this figures on average U.S. citizen’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. VerDate Sep<11>2014 19:08 Jan 05, 2021 Jkt 253001 PO 00000 Frm 00171 Fmt 4703 Sfmt 4703 E:\FR\FM\06JAN1.SGM 06JAN1 Federal Register / Vol. 86, No. 3 / Wednesday, January 6, 2021 / Notices 6. Redetermination of Eligibility for Help with Medicare Prescription Drug Plan Costs—20 CFR 418.3125—0960– 0723. Under the Medicare Modernization Act of 2003, SSA conducts low-income subsidy eligibility redeterminations for Medicare beneficiaries who currently receive Medicare Part D subsidy and who meet certain criteria. Respondents complete Form SSA–1026–OCR–SM–REDE under the following circumstances: (1) When individuals became entitled to the Medicare Part D subsidy during the past 12 months; (2) if they were eligible for the Part D subsidy for more than 12 months; or (3) if they reported a change in income, resources, or household size. Part D beneficiaries complete Form SSA–1026–OCR–SM–SCE when they need to report a potentially subsidychanging event, including the following: Number of respondents Modality of completion Average burden per response (minutes) Frequency of response 671 (1) Marriage; (2) spousal separation; (3) divorce; (4) annulment of a marriage; (5) spousal death; or (6) moving back in with one’s spouse following a separation. The respondents are current recipients of Medicare Part D lowincome subsidy who will undergo an eligibility redetermination for one of the reasons mentioned above. Type of Request: Revision of an OMBapproved information collection. Average theoretical hourly cost amount (dollars) * Estimated total annual burden (hours) Average wait time in field office (minutes)** Total annual opportunity cost (dollars) *** SSA–1026–OCR–SM–REDE ........................ SSA–1026–OCR–SM–SCE .......................... REDE Field Office Interview ......................... SCE Field Office Interview ............................ 120,220 3,462 50,879 4,441 1 1 1 1 18 18 18 18 36,066 1,039 15,264 1,332 * $25.72 * 25.72 * 25.72 * 25.72 ........................ ........................ ** 24 ** 24 *** $927,618 *** 26,723 *** 916,033 *** 79,948 Totals ..................................................... 179,002 ........................ ........................ 53,701 ........................ ........................ *** 1,950,322 * We based this figure on average U.S. citizen’s hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_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: December 20, 2020. Naomi Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2020–29207 Filed 1–5–21; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF STATE [Public Notice 11277] 30-Day Notice of Proposed Information Collection: Request for Approval of Special Validation for Travel to a Restricted Country or Area Notice of request for public comment and submission to OMB of proposed collection of information. ACTION: The Department of State has submitted the information collection described below to the Office of Management and Budget (OMB) for approval. In accordance with the Paperwork Reduction Act of 1995 we are requesting comments on this collection from all interested individuals and organizations. The purpose of this Notice is to allow 30 days for public comment. DATES: Submit comments up to February 5, 2021. ADDRESSES: Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/public/do/ PRAMain. Find this particular information collection by selecting ‘‘Currently under 30-day Review—Open jbell on DSKJLSW7X2PROD with NOTICES SUMMARY: VerDate Sep<11>2014 19:08 Jan 05, 2021 Jkt 253001 for Public Comments’’ or by using the search function. SUPPLEMENTARY INFORMATION: • Title of Information Collection: Request for Approval for Multiple-Entry Travel to a Restricted Country or Area. • OMB Control Number: 1405–0228. • Type of Request: Revision of a Currently Approved Collection. • Originating Office: Bureau of Consular Affairs, Passport Services, CA/ PPT/S/A. • Form Number: No form. • Respondents: Individuals single or multiple-entry special validation, in accordance with 22 CFR 51.64, to use a U.S. passport to travel to, in, or through a country or area as to which U.S. passports have been declared invalid for such travel pursuant to 22 U.S.C. 211a and Executive Order 11295 (August 5, 1966) and in accordance with 22 CFR 51.63(a). • Estimated Number of Respondents: 150. • Estimated Number of Responses: 150. • Average Time per Response for a single entry validation request: 45 minutes. • Average Time per Response for multiple-entry validation request: 90 minutes. • Total Estimated Burden Time: 150 hours. • Frequency: Once per year when the individual wishes to travel to the restricted country or area, whether for single- or multiple-entry validation request. • Obligation to Respond: Required to Obtain or Retain a Benefit. PO 00000 Frm 00172 Fmt 4703 Sfmt 4703 We are soliciting public comments to permit the Department to: • Evaluate whether the proposed information collection is necessary for the proper functions of the Department. • Evaluate the accuracy of our estimate of the time and cost burden for this proposed collection, including the validity of the methodology and assumptions used. • Enhance the quality, utility, and clarity of the information to be collected. • Minimize the reporting burden on those who are to respond, including the use of automated collection techniques or other forms of information technology. Please note that comments submitted in response to this Notice are public record. Before including any detailed personal information, you should be aware that your comments as submitted, including your personal information, will be available for public review. Abstract of Proposed Collection The Secretary of State may exercise authority, under 22 U.S.C. 211a, Executive Order 11295 (August 5, 1966), and 22 CFR 51.63, to invalidate all U.S. passports for travel to a country or area if he determines that any of three conditions exist: The country is at war with the United States; armed hostilities are in progress in the country or area; or there is imminent danger to the public health or physical safety of U.S. travelers in the country or area. The regulations of the Department of State provide that an individual’s passport may be considered for validation for E:\FR\FM\06JAN1.SGM 06JAN1

Agencies

[Federal Register Volume 86, Number 3 (Wednesday, January 6, 2021)]
[Notices]
[Pages 667-671]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-29207]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2020-0067]


Agency Information Collection Activities: Proposed Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law 104-13, the 
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice 
includes new information collections, and 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

    Comments: https://www.reginfo.gov/public/do/PRAMain. Submit your 
comments online, referencing Docket ID Number [SSA-2020-0067].

(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 https://www.reginfo.gov/public/do/PRAMain, referencing Docket ID Number [SSA-
2020-0067].
    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 
March 8, 2021. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Retaining Employment and Talent After Injury/Illness Network 
(RETAIN)--0960-NEW.

Background

    The Social Security Administration (SSA) and the U.S. Department of 
Labor (DOL) are undertaking the Retaining Employment and Talent After 
Injury/Illness Network (RETAIN) demonstration. The RETAIN demonstration 
will test the impact of early intervention strategies to improve stay-
at-work/return-to-work (SAW/RTW) outcomes of individuals who experience 
work disability while employed. We define ``work disability'' as an 
injury, illness, or medical condition that has the potential to inhibit 
or prevent continued employment or labor force participation. SAW/RTW 
programs succeed by returning injured or ill workers to productive work 
as soon as medically possible during their recovery process, and by 
providing interim part-time or light duty work and accommodations, as 
necessary. The RETAIN demonstration is loosely modeled after promising 
programs operating in Washington State, including the Centers of 
Occupational Health and Education (COHE), the Early Return to Work 
(ERTW), and the Stay at Work programs. While these programs operate 
within the state's workers' compensation system, and are available only 
to people experiencing work-related injuries or illnesses, the RETAIN 
demonstration provides opportunities to improve SAW/RTW outcomes for 
both occupational and non-occupational injuries and illnesses of people 
who are employed, or at a minimum in the labor force, when their injury 
or illness occurs.
    The primary goals of the RETAIN demonstration are:
    1. To increase employment retention and labor force participation 
of individuals who acquire, or are at risk of developing, work 
disabilities; and
    2. To reduce long-term work disability among RETAIN service users, 
including the need for Social Security Disability Insurance and 
Supplemental Security Income.
    The ultimate purpose of the demonstration is to validate and expand 
implementation of evidence-based strategies to accomplish these goals. 
DOL is funding the intervention approaches and programmatic technical 
assistance for the demonstration. SSA is funding evaluation support, 
including technical assistance and the full evaluation for the 
demonstration.

Project Description

    The demonstration consists of two phases. The first involves the 
implementation and assessment of cooperative awards to eight states to 
conduct planning and start-up activities, including the launch of a 
small pilot demonstration. During phase 1, SSA will provide evaluation-
related technical assistance and planning, and conduct evaluability 
assessments to assess which states' projects would allow for a rigorous 
evaluation if continued beyond the pilot phase. DOL will select a 
subset of the states to continue to phase 2, full implementation.
    Phase 2 will include a subset of states for full implementation and 
evaluation. During phase 2, DOL will fund the operations and program 
technical assistance activities for the recommended states, and SSA 
will fund the full set of evaluation activities.
    SSA is requesting clearance for the collection of data needed to 
implement and evaluate RETAIN. The four components of this evaluation, 
completed during site visits, interviews with RETAIN service users, 
surveys of RETAIN enrollees, and surveys of RETAIN service providers, 
include:
     The participation analysis: Using RETAIN service user 
interviews and surveys, this analysis will provide insights into which 
eligible workers choose to participate in the program, in what ways 
they participate, and how services received vary with participant 
characteristics. Similarly, it will assess the characteristics of, and 
if possible, reasons for non-enrollment of non-participants.
     The process analysis: Using staff interviews and logs, 
this analysis will produce information about operational features that 
affect service provision; perceptions of the intervention design by 
service users, providers, administrators, and other stakeholders; the 
relationships among the partner organizations; each program's fidelity 
to the research design; and lessons for future programs with similar 
objectives.
     The impact analysis: This analysis will produce estimates 
of the effects of the interventions on primary outcomes, including 
employment and Social Security disability applications, and secondary 
outcomes, such as health and service usage. SSA will identify 
evaluation designs for each state to generate impact estimates. The 
evaluation design could include experimental or non-experimental 
designs.
     The cost-benefit analysis: This analysis will assess 
whether the benefits

[[Page 668]]

of RETAIN justify its costs. We conduct this assessment from a range of 
perspectives, including those of the participants, state and Federal 
governments, SSA, and society as a whole.
    The proposed data collections to support these analyses include 
qualitative and quantitative data. At this time, SSA requests clearance 
for all of these data collection activities. The qualitative data 
collection consists of: (1) Semi-structured interviews with program 
staff and service users; and (2) staff activity logs. The program staff 
will complete interviews during two rounds of site visits. They will 
focus on staff's perceptions of the successes and challenges of 
implementing each state's program. The staff activity logs will house 
information on staff's time to inform the benefit-cost analysis. The 
service user interviews will inform SSA's understanding of users' 
experiences with program services. The quantitative data include SSA's 
program records and survey data. The survey data collection consists 
of: (1) Two rounds of follow-up surveys, focusing on individual-level 
outcomes, with enrollees, all of whom who have experienced a disability 
onset; and (2) two rounds of surveys with RETAIN providers.
    The respondents are staff members selected for staff interviews and 
staff activity logs, and RETAIN service users, enrollees, and 
providers.
    Type of Request: Request for a new information collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                              Average
                                                                          Average burden     Estimated      theoretical    Average wait    Total annual
         Modality of completion              Number of     Frequency of    per response    total annual     hourly cost    time in field    opportunity
                                            respondents      response        (minutes)    burden (hours)      amount          office      cost (dollars)
                                                                                                            (dollars) *    (minutes) **         ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                               RETAIN 2021 Burden Figures
--------------------------------------------------------------------------------------------------------------------------------------------------------
Enrollee Survey Round 1 (Respondents)...             320               1              15              80        * $25.72           ** 24      *** $5,350
Enrollee Survey Round 1 (Nonrespondents)              80               1               3               4         * 25.72           ** 24         *** 926
                                         ---------------------------------------------------------------------------------------------------------------
    Totals..............................             400  ..............  ..............              84  ..............  ..............       *** 6,276
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                               RETAIN 2022 Burden Figures
--------------------------------------------------------------------------------------------------------------------------------------------------------
Staff Interviews (state administrators/                4               1             105               7         * 45.23              24         *** 407
 directors).............................
Staff Interviews (program line staff)...              72               1              75              90         * 32.58           ** 24       *** 3,870
Service User Interviews (Respondents)...              60               1              36              36         * 25.72           ** 24       *** 1,543
Service User Interviews (Nonrespondents)             540               1               6              54         * 25.72           ** 24       *** 6,945
Staff Activity Logs (state                             4               1              70               5         * 45.23           ** 24         *** 298
 administrators/directors)..............
Staff Activity Logs (program line staff)              48               1              70              56           32.58           ** 24       *** 2,450
Enrollee Survey Round 1 (Respondents)...           3,840               1              15             960         * 25.72           ** 24      *** 64,197
Enrollee Survey Round 1 (Nonrespondents)             960               1               3              48         * 25.72           ** 24      *** 11,111
Enrollee Survey Round 2 (Respondents)...             960               1              21             336           25.72           ** 24      *** 18,518
Enrollee Survey Round 2 (Nonrespondents)             240               1               3              12           25.72              24       *** 2,778
Provider Survey Round 2 (Respondents)...             320               1              17              91         * 32.58           ** 24       *** 7,135
Provider Survey Round 2 (Nonrespondents)              80               1               3               4         * 32.58           ** 24       *** 1,173
                                         ---------------------------------------------------------------------------------------------------------------
    Totals..............................           7,128  ..............  ..............           1,699  ..............  ..............     *** 120,425
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                               RETAIN 2023 Burden Figures
--------------------------------------------------------------------------------------------------------------------------------------------------------
Enrollee Survey Round 1 (Respondents)...           3,840               1              15             960         * 25.72           ** 24      *** 64,197
Enrollee Survey Round 1 (Nonrespondents)             960               1               3              48           25.72              24      *** 11,111
Enrollee Survey Round 2 (Respondents)...           3,840               1              21           1,344         * 25.72           ** 24      *** 74,074
Enrollee Survey Round 2 (Nonrespondents)             960               1               3              48         * 25.72           ** 24      *** 11,111
Provider Survey Round 2 (Respondents)...             320               1              17              91         * 32.58           ** 24       *** 7,135
Provider Survey Round 2 (Nonrespondents)              80               1               3               4         * 32.58           ** 24       *** 1,173
                                         ---------------------------------------------------------------------------------------------------------------
    Totals..............................          10,000  ..............  ..............           2,495  ..............  ..............     *** 168,801
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                               RETAIN 2024 Burden Figures
--------------------------------------------------------------------------------------------------------------------------------------------------------
Enrollee Survey Round 1 (Respondents)...           1,600               1              15             400         * 25.72           ** 24      *** 26,749
Enrollee Survey Round 1 (Nonrespondents)             400               1               3              20         * 25.72           ** 24       *** 4,629
Enrollee Survey Round 2 (Respondents)...           3,840               1              21           1,344         * 25.72           ** 24      *** 74,074
Enrollee Survey Round 2 (Nonrespondents)             960               1               3              48         * 25.72           ** 24      *** 11,111
                                         ---------------------------------------------------------------------------------------------------------------
    Totals..............................           6,800  ..............  ..............           1,812  ..............  ..............     *** 116,563
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                               RETAIN 2025 Burden Figures
--------------------------------------------------------------------------------------------------------------------------------------------------------
Enrollee Survey Round 2 (Respondents)...             960               1              21             336         * 25.72           ** 24      *** 18,518
Enrollee Survey Round 2 (Nonrespondents)             240               1               3              12         * 25.72           ** 24       *** 2,778
                                         ---------------------------------------------------------------------------------------------------------------
    Totals..............................           1,200  ..............  ..............             348  ..............  ..............      *** 21,296
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                            RETAIN Grand Total Burden Figures
--------------------------------------------------------------------------------------------------------------------------------------------------------
    Totals..............................          25,528  ..............  ..............           6,438  ..............  ..............     *** 433,361
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm), and average local Government Management and staff hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes110000.htm) & (https://www.bls.gov/oes/current/oes131071.htm).
** We based this figure on the average FY 2020 wait times for field offices, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
  these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
  respondents to complete the application.


[[Page 669]]

    2. Internet and Telephone Appointment Applications--20 CFR 404.620-
404.630, and 416.330-416.340--0960-NEW. SSA offers both internet and 
telephone appointment options for individuals who wish to request an 
appointment when they are unable to complete one of SSA's online or 
automated telephone applications because they failed the initial 
verification checks,--or who state their reading language preference is 
other than English.
    iAppointment: iAppointment is an online process that allows members 
of the public an easy-to-use method to schedule an appointment with the 
servicing office of their choice. Since the application date can affect 
when a claimant's benefit begins, iAppointment establishes a protective 
filing date and provides respondents information related to the date by 
which they must file their actual application. The iAppointment 
application propagates information the applicant already entered onto 
any of SSA's internet applications for SSN, name, date of birth, and 
gender. Applicants must provide minimal additional information: Mailing 
address; telephone number; language preference; type of appointment 
(Disability, Retirement, Medicare); and whether they prefer a telephone 
interview or in-office appointment. iAppointment is a customer-centric 
application. If the available appointment times do not meet the 
customer's needs, iAppointment allows the user to enter a different zip 
code to identify another field office, which may offer different 
appointment times. At this time, SSA only allows domestic first party 
applicants to use iAppointment. If users indicate they are filing as 
third parties, iAppointment provides a message directing them to call 
the National 800 Number for assistance. If a foreign first party user 
is unable to complete iClaim, iAppointment directs them to contact a 
Social Security representative, and provides a link to SSA's Service 
Around the World website.
    Enhanced Leads and Appointment System (eLAS): eLAS is an Intranet-
based version of the iAppointment screens for use by SSA technicians 
both in the field offices and call centers. eLAS interacts with 
iAppointment to ensure we always record the same information whether an 
individual requests an appointment through our internet screens or via 
telephone. eLAS is a non-public facing system that allows SSA employees 
in the field offices, workload support units, and teleservice centers 
to use an telephone interview process to schedule appointments and 
document an individual's intent to file using a script and asking the 
same questions to each individual. We use eLAS with individuals who use 
our automated telephone system or who prefer not to use iAppointment to 
set up their appointment.
    The respondents are individuals who are unable to use our internet 
or automated telephone systems because they failed the initial 
verification checks; or because they state their reading language 
preference is other than English.
    Type of Request: Request for a new information collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                              Average
                                                                                                              Average      combined wait
                                                                          Average burden     Estimated      theoretical    time in field   Total annual
         Modality of completion              Number of     Frequency of    per response    total annual     hourly cost    office or for    opportunity
                                            respondents      response        (minutes)    burden (hours)      amount        teleservice   cost (dollars)
                                                                                                            (dollars) *       center            ***
                                                                                                                           (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
iAppointment............................          17,621               1              10           2,937        * $25.72  ..............     *** $75,540
eLAS....................................       5,157,780               1              10         859,630         * 25.72           ** 21  *** 68,540,019
                                         ---------------------------------------------------------------------------------------------------------------
    Totals..............................       5,175,401  ..............  ..............         862,567  ..............  ..............  *** 68,615,559
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average U.S. worker's hourly wages (based on BLS.gov data, https://www.bls.gov/oes/current/oes_nat.htm).
** We based this figure on the combined average FY 2020 wait times for field offices (approximately 24 minutes per respondent) and teleservice centers
  (approximately 17 minutes per respondent), 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. Statement of Living Arrangements, In-Kind Support, and 
Maintenance--20 CFR 416.1130-416.1148--0960-0174. SSA determines 
Supplemental Security Income (SSI) payment amounts based on 
individuals' needs. We measure individuals' needs, in part, by the 
amount of income they receive, including in-kind support and 
maintenance in the form of food and shelter provided by other persons. 
SSA uses Form SSA-8006 to determine if in-kind support and maintenance 
exists for SSI applicants and recipients. This information also assists 
SSA in determining the income value of in-kind support and maintenance. 
The respondents are individuals who apply for SSI payments, or who 
complete an SSI eligibility redetermination.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                              Average
                                                                                                              Average      combined wait
                                                                          Average burden     Estimated      theoretical    time in field   Total annual
         Modality of completion              Number of     Frequency of    per response    total annual     hourly cost    office or for    opportunity
                                            respondents      response        (minutes)    burden (hours)      amount        teleservice   cost (dollars)
                                                                                                            (dollars) *       center            ***
                                                                                                                           (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-8006--Intranet version (SSI Claims           109,436               1               7          12,768        * $10.73           ** 17    *** $469,706
 System)................................
SSA--8006-Paper version.................          12,160               1               7           1,419         * 10.73           ** 24      *** 67,417
                                         ---------------------------------------------------------------------------------------------------------------
    Totals..............................         121,596  ..............  ..............          14,187  ..............  ..............     *** 537,123
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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 (24 minutes) and wait times for teleservice centers (17 minutes), based on
  SSA's current management information data.

[[Page 670]]

 
*** 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. Statement of Funds You Provided to Another and Statement of 
Funds You Received--20 CFR 416.1103(f)--0960-0481. SSA uses Forms SSA-
2854 (Statement of Funds You Provided to Another) and SSA-2855 
(Statement of Funds You Received) to gather information to verify if a 
loan is bona fide for SSI recipients. The SSA-2854 asks the lender for 
details on the transaction, and Form SSA-2855 asks the borrower the 
same basic questions independently. Agency personnel then compare the 
two statements, gather evidence if needed, and make a decision on the 
validity of the bona fide status of the loan.
    For SSI purposes, we consider a loan bona fide if it meets these 
requirements:
     Must be between a borrower and lender with the 
understanding that the borrower has an obligation to repay the money;
     Must be in effect at the time the cash goes to the 
borrower, that is, the agreement cannot come after the cash is paid; 
and
     Must be enforceable under State law, as often there are 
additional requirements from the State.
    SSA collects this information at the time of initial application 
for SSI, or at any point when an individual alleges being party to an 
informal loan while receiving SSI. SSA collects information on the 
informal loan through both interviews and mailed forms. The agency's 
field personnel conduct the interviews and mail the form(s) for 
completion, as needed. The respondents are SSI recipients and 
applicants, and individuals who lend money to them.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                              Average
                                                                                                              Average      combined wait
                                                                          Average burden     Estimated      theoretical    time in field   Total annual
         Modality of completion              Number of     Frequency of    per response    total annual     hourly cost    office or for    opportunity
                                            respondents      response        (minutes)    burden (hours)      amount        teleservice   cost (dollars)
                                                                                                            (dollars) *       center            **
                                                                                                                           (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-2854................................          20,000               1              15           5,000        * $25.72           ** 24    *** $334,360
SSA-2855................................          20,000               1              15           5,000         * 25.72           ** 24     *** 334,360
                                         ---------------------------------------------------------------------------------------------------------------
    Totals..............................          40,000  ..............  ..............          10,000  ..............  ..............     *** 668,720
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_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. Medicare Subsidy Quality Review Forms--20 CFR part 418--0960-
0707. The Medicare Modernization Act of 2003 mandated the creation of 
the Medicare Part D prescription drug coverage program and provides 
certain subsidies for eligible Medicare beneficiaries to help pay for 
the cost of prescription drugs. As part of its stewardship duties of 
the Medicare Part D subsidy program, SSA must conduct periodic quality 
review checks of the information Medicare beneficiaries report on their 
subsidy applications (Form SSA-1020). SSA uses the Medicare Quality 
Review program to conduct these checks. The respondents are applicants 
for the Medicare Part D subsidy whom SSA chose to undergo a quality 
review.
    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-9301 (Medicare Subsidy Quality Review Case Analysis            3,500               1              30           1,750        * $40.64      ** $71,120
 Form...................................................
SSA-9302 (Notice of Quality Review Acknowledgment Form             3,500               1              15             875         * 25.72       ** 22,505
 for those with Phones).................................
SSA-9303 (Notice of Quality Review Acknowledgment Form               350               1              15              88         * 25.72        ** 2,263
 for those without Phones)..............................
SSA-9308 (Request for Information)......................           7,000               1              15           1,750         * 25.72       ** 45,010
SSA-9310 (Request for Documents)........................           3,500               1               5             292         * 25.72        ** 7,510
SSA-9311 (Notice of Appointment--Denial--Reviewer Will               450               1              15             113         * 25.72        ** 2,906
 Call)..................................................
SSA-9312 (Notice of Appointment--Denial--Please Call                  50               1              15              13         * 25.72          ** 334
 Reviewer)..............................................
SSA-9313 (Notice of Quality Review Acknowledgment Form             2,500               1              15             625         * 25.72       ** 16,075
 for those with Phones).................................
SSA-9314 (Notice of Quality Review Acknowledgement Form              500               1              15             125         * 25.72        ** 3,215
 for those without Phones)..............................
                                                         -----------------------------------------------------------------------------------------------
    Total...............................................          21,350  ..............  ..............           5,631  ..............      ** 170,938
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figures on average U.S. citizen'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.


[[Page 671]]

    6. Redetermination of Eligibility for Help with Medicare 
Prescription Drug Plan Costs--20 CFR 418.3125--0960-0723. Under the 
Medicare Modernization Act of 2003, SSA conducts low-income subsidy 
eligibility redeterminations for Medicare beneficiaries who currently 
receive Medicare Part D subsidy and who meet certain criteria. 
Respondents complete Form SSA-1026-OCR-SM-REDE under the following 
circumstances: (1) When individuals became entitled to the Medicare 
Part D subsidy during the past 12 months; (2) if they were eligible for 
the Part D subsidy for more than 12 months; or (3) if they reported a 
change in income, resources, or household size. Part D beneficiaries 
complete Form SSA-1026-OCR-SM-SCE when they need to report a 
potentially subsidy-changing event, including the following: (1) 
Marriage; (2) spousal separation; (3) divorce; (4) annulment of a 
marriage; (5) spousal death; or (6) moving back in with one's spouse 
following a separation. The respondents are current recipients of 
Medicare Part D low-income subsidy who will undergo an eligibility 
redetermination for one of the reasons mentioned above.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                              Average
                                                                          Average burden     Estimated      theoretical    Average wait    Total annual
         Modality of completion              Number of     Frequency of    per response    total annual     hourly cost    time in field    opportunity
                                            respondents      response        (minutes)    burden (hours)      amount          office      cost (dollars)
                                                                                                            (dollars) *     (minutes)**         ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-1026-OCR-SM-REDE....................         120,220               1              18          36,066        * $25.72  ..............    *** $927,618
SSA-1026-OCR-SM-SCE.....................           3,462               1              18           1,039         * 25.72  ..............      *** 26,723
REDE Field Office Interview.............          50,879               1              18          15,264         * 25.72           ** 24     *** 916,033
SCE Field Office Interview..............           4,441               1              18           1,332         * 25.72           ** 24      *** 79,948
                                         ---------------------------------------------------------------------------------------------------------------
    Totals..............................         179,002  ..............  ..............          53,701  ..............  ..............   *** 1,950,322
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_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: December 20, 2020.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2020-29207 Filed 1-5-21; 8:45 am]
BILLING CODE 4191-02-P