Agency Information Collection Activities: Proposed Request, 667-671 [2020-29207]
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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]
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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).
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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
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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
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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.
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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
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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.
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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.
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) .....................................................
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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.
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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]
=======================================================================
-----------------------------------------------------------------------
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.
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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)** ***
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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
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Totals.............................. 179,002 .............. .............. 53,701 .............. .............. *** 1,950,322
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* 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
