Agency Information Collection Activities: Proposed Request and Comment Request, 22510-22515 [2021-08800]

Download as PDF 22510 Federal Register / Vol. 86, No. 80 / Wednesday, April 28, 2021 / Notices III. Requested Exemptive Relief SOCIAL SECURITY ADMINISTRATION For the reasons stated above, Applicants believe that the Prior Order, as amended, continues to meet the relevant standards for relief pursuant to section 6(c) of the Act for an exemption from sections 2(a)(32), 5(a)(1), 22(d), and 22(e) of the Act and rule 22c–1 under the Act, and under sections 6(c) and 17(b) of the Act for an exemption from sections 17(a)(1) and 17(a)(2) of the Act, and under section 12(d)(1)(J) of the Act for an exemption from sections 12(d)(1)(A) and 12(d)(1)(B) of the Act.10 [Docket No: SSA–2021–0011] IV. Applicants’ Conditions Applicants agree that the Amended Order granting the requested relief will be subject to all of the conditions in the Prior Order, except that condition A.9 of the Prior Order is deleted in its entirety and replaced with the conditions A.9– A.10 as follows: 9. Each Fund will comply with the recordkeeping requirements of rule 6c– 11 under the Act, as amended, except that for purposes of this condition, only Creation Baskets different from the Fund’s Proxy Portfolio will be treated as a ‘‘custom basket’’ under rule 6c– 11(d)(2)(ii). In addition, each Fund will maintain and preserve, for a period of not less than five years, in an easily accessible place, (i) a copy of the Proxy Portfolio published on the Fund’s website for each Business Day; and (ii) a copy of each Creation Basket made available. 10. Each Fund will adopt and implement written policies and procedures that govern the construction of Creation Baskets, as required under rule 6c–11(c)(3) under the Act, as amended, except that for purposes of this condition, only Creation Baskets different from the Fund’s Proxy Portfolio will be treated as a ‘‘Custom Basket’’. The Fund’s basket policies and procedures will be covered by the Fund’s compliance program and other requirements under rule 38a–1 under the Act, as amended. jbell on DSKJLSW7X2PROD with NOTICES For the Commission, by the Division of Investment Management, pursuant to delegated authority. Vanessa A. Countryman, Secretary. [FR Doc. 2021–08845 Filed 4–27–21; 8:45 am] BILLING CODE 8011–01–P 10 See supra note 2. VerDate Sep<11>2014 19:17 Apr 27, 2021 Jkt 253001 Agency Information Collection Activities: Proposed Request and Comment Request The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104–13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes a new collection, and revisions of OMBapproved 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–2021–0011]. (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–2021–0011]. I. The information collections below are pending at SSA. SSA will submit them to OMB within 60 days from the date of this notice. To be sure we consider your comments, we must receive them no later than June 28, 2021. Individuals can obtain copies of the collection instruments by writing to the above email address. 1. Work-Disability Functional Assessment Battery (WD–FAB)—0960– NEW. Background SSA uses continuing disability reviews (CDR) to determine continued eligibility of program benefits for Social Security disability insurance (SSDI), and Supplemental Security Income (SSI) recipients. SSA is requesting clearance to administer the Work- PO 00000 Frm 00127 Fmt 4703 Sfmt 4703 Disability Functional Assessment Battery (WD–FAB) assessment to a sample of working-age SSDI and SSI program recipients who are due for their CDR. The WD–FAB is a self-reported assessment measuring whole personfunctioning at the activity level for eight work-related functional domains: (1) Basic Mobility; (2) Upper Body Function; (3) Fine Motor Function; (4) Community Mobility; (5) Communication and Cognition; (6) Resilience and Sociability; (7) SelfRegulation; and (8) Mood and Emotion. SSA will use the data the WD–FAB collects to assess the feasibility and value of incorporating the WD–FAB into SSA’s CDR process with the intent of improving the CDR process. Section 1110(a) of the Social Security Act (Act) gives the Commissioner of Social Security the authority to help fund research or demonstration projects relating to the prevention and reduction of dependency. SSA contracted with Westat to conduct the WD–FAB data collection. WD–FAB Project Description To assess the feasibility of incorporating the WD–FAB into the CDR process, this study will conduct two assessments. The first assessment is a baseline assessment of the WD–FAB and the second assessment, which we will conduct with the same individuals six months later, will detect any changes. Each survey will include three main components: Classification questions, WD–FAB questions, and follow-up questions. The classification questions and WD–FAB questions will be identical in each survey. Survey 1 will cover questions in the following domains: • Classification questions: Æ Demographic questions (age, gender, race, ethnicity, marital status, highest level of education completed); Æ Questions on general health, mental health status, and work-limiting conditions; Æ 4-item set of Healthy Days core questions included in the state-based Behavioral Risk Factor Surveillance System; Æ Questions from Form SSA–455; • Veterans Item Health Survey; • Items from WD–FAB; and • 3–5 follow-up questions to solicit feedback on the WD–FAB about ease of use, clarity of instructions, and perceived burden. Survey 2 will include the same classification questions included in Survey 1, and we will record responses using the WD–FAB Computer Assisted Telephone (CAT) system. CAT interviewers and respondents who E:\FR\FM\28APN1.SGM 28APN1 22511 Federal Register / Vol. 86, No. 80 / Wednesday, April 28, 2021 / Notices complete the surveys via the web will access the same web version of the survey instruments ensuring data consistency between these two modes of data collection. The CAT methodology uses a computer interface that rapidly tailors questions to the unique ability level of each claimant, allowing for fewer items to be administered, while providing an assessment that is proven to be accurate, precise, comprehensive, and efficient. Follow-up questions for Survey 2 will include 52 effort and symptom validity questions to examine certain symptoms related to function. Data collection for Survey 1 will begin in November 2021 and extend for 12 weeks through January 2022. The target goal for Survey 1 is to obtain 2,400 completed surveys from a participant pool of at least 4,000 beneficiaries. Data collection for Survey 2 will begin in April 2022, approximately 6 months after Survey 1, and continue for 3 months through June 2022. For Survey 2, we will initiate contact with the 2,400 beneficiaries who complete Survey 1. The target goal for Survey 2 is to obtain 1,600 completed surveys. Recruitment Participant recruitment will include multiple modes of contact. We will initiate contact by mailing a study invitation package. The study invitation package will include the following items: 1. An invitation letter explaining the study and notifying selected recipients that we will call them soon; 2. A study consent form explaining the background of the study, what will happen during the study, the risks and benefits associated with participating, and their rights as a study participant; and 3. Instructions to download the study smartphone app to facilitate study participation. Following the mailing of the study invitation package, we will call recipients to conduct a short screener to ensure we are speaking to the sampled recipient and confirm that the recipient is eligible for the study. Eligibility criteria include aged 18 or over, ability to understand English, and ability to provide informed consent. To assess ability to provide informed consent, interviewers will read aloud a brief description of the study and then ask participants to name one thing participation involves. This vetted question will be a check for cognitive ability to provide consent. Failure to name one thing will deem the recipient ineligible for the study due to inability to provide informed consent. If the recipient is able to provide informed consent, the interviewer will review the main points on the consent form over the phone with the beneficiary. This will include: • The voluntary nature of the study; • That the study will not directly benefit them; • Their rights as study participants; • That they can withdraw at any time; • Information on who to call if they have questions about their rights as research participants. The interviewer will then ask the recipient if they want to participate in the study and collect verbal informed consent. After collecting consent, interviewers will collect contact information from the recipient including home address, preferred telephone numbers, and email addresses. Interviewers will obtain permission to send reminders via text message for respondents with cell phones. We will send electronic reminders to participants about survey completion and to keep in touch with respondents between each wave of data collection. We will confirm the recipient’s address to mail incentives after survey completion. At the close of the screener, recipients will have the option of completing the survey online themselves or over the telephone with an interviewer. Recipients who opt to do the survey with an interviewer on the phone will be given the opportunity to do the survey immediately following the screener, or at a later date and time that is convenient for the recipient. The interviewer will schedule an appointment to call the recipient at their preferred date and time. We will ask recipients who opt to complete the survey on the web to provide a valid email address where they can receive information about how to access the web survey. The recipient will receive an email with the survey URL and instructions for logging on. Recipients who elect to complete Survey 1 or Survey 2 on their own via the web will also receive email reminders if they have not started the web survey within four days and another emailed reminder on day 5. We will administer the eligibility screener via telephone and obtain consent prior to each survey. Survey participants will receive a gift card in the amount of $50 and $75 as a reimbursement for completing Survey 1 and Survey 2, respectively. The respondents are Study participants who are receiving SSA disability payments. Type of Request: Request for a new information collection. WD–FAB SURVEY 1 Number of respondents Modality of completion Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) Average theoretical hourly cost amount (dollars) * Total annual opportunity cost (dollars) ** Survey 1 competency screening and informed consent ..................................... Survey 1 (respondents) ........................... 4,500 5,600 1 1 5 50 375 4,667 * $10.95 * 10.95 ** $4,106 ** 51,104 Total .................................................. 10,100 ........................ ........................ 5,042 ........................ 55,210 jbell on DSKJLSW7X2PROD with NOTICES WD–FAB SURVEY 2 Number of respondents Modality of completion Survey 2 competency screener ............... VerDate Sep<11>2014 19:17 Apr 27, 2021 Jkt 253001 Frequency of response 2,400 PO 00000 Frm 00128 Average burden per response (minutes) 1 Fmt 4703 Sfmt 4703 Estimated total annual burden (hours) 5 E:\FR\FM\28APN1.SGM 200 28APN1 Average theoretical hourly cost amount (dollars) * * $10.95 Total annual opportunity cost (dollars) ** ** $2,190 22512 Federal Register / Vol. 86, No. 80 / Wednesday, April 28, 2021 / Notices WD–FAB SURVEY 2—Continued Number of respondents Modality of completion Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) Average theoretical hourly cost amount (dollars) * Total annual opportunity cost (dollars) ** Survey 2 (respondents) ........................... 3,200 1 75 4,000 *10.95 ** 43,800 Total .................................................. 5,600 ........................ ........................ 4,200 ........................ 45,990 WD–FAB GRAND TOTAL BURDEN FIGURES Number of respondents Modality of completion Totals ....................................................... 15,700 Frequency of response Average burden per response (minutes) Estimated total annual burden (hours) ........................ ........................ 9,242 Average theoretical hourly cost amount (dollars) * ........................ Total annual opportunity cost (dollars) ** $101,200 * We based this figure on the average DI payments based on SSA’s current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.pdf). ** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to respondents to complete the application. 2. Authorization for the Social Security Administration to Obtain Account Records from a Financial Institution and Request for Records (Medicare)—20 CFR 418.3420—0960– 0729. The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) established the Medicare Part D program for voluntary prescription drug coverage of premium, deductible, and copayment costs for individuals with limited income and resources. The MMA mandates that the Government provide subsidies for those individuals who qualify for the program, and who meet eligibility criteria for help with premium, deductible, or co-payment costs. SSA uses the SSA–4640, Authorization for the Social Security Administration to Obtain Account Records from a Financial Institution and Request for Records (Medicare), to determine if subsidy applicants or recipients qualify, Number of respondents Modality of completion Frequency of response Average burden per response (minutes) or continue to qualify, for the subsidy. SSA uses Form SSA–4640 to: (1) Obtain the individual’s consent to verify balances of financial institution (FI) accounts; and (2) obtain verification of such balances from the FI. Respondents are Medicare Part D program subsidy applicants or claimants, and their financial institutions. Type of Request: Revision of an OMBapproved information collection. Estimated total annual burden (hours) Average theoretical hourly cost amount (dollars) * Total annual opportunity cost (dollars) ** Medicare Part D Subsidy Applicants ....... Financial Institutions ................................ 5,000 5,000 1 1 1 4 83 333 * $10.95 * 37.56 ** $909 ** 12,507 Totals ................................................ 10,000 ........................ ........................ 416 ........................ ** 13,416 jbell on DSKJLSW7X2PROD with NOTICES * We based these figures on the average DI payments based on SSA’s current FY 2021 data (https://www.ssa.gov/legislation/ 2021FactSheet.pdf), and the average Business and Financial operations occupations, as reported by Bureau of Labor Statistics data (https:// www.bls.gov/oes/current/oes130000.htm). ** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to respondents to complete the application. II. SSA submitted the information collections below to OMB for clearance. Your comments regarding these information collections would be most useful if OMB and SSA receive them 30 days from the date of this publication. To be sure we consider your comments, we must receive them no later than May 28, 2021. Individuals can obtain copies of these OMB clearance packages by writing to OR.Reports.Clearance@ ssa.gov. 1. Supplement to Claim of Person Outside the United States—20 CFR 422.505(b), 404.460, 404.463, and 42 VerDate Sep<11>2014 20:14 Apr 27, 2021 Jkt 253001 CFR 407.27(c)—0960–0051. Claimants or beneficiaries (both United States (U.S.) citizens and aliens entitled to benefits) living outside the U.S. complete Form SSA–21 as a supplement to an application for benefits. SSA collects the information to determine eligibility for U.S. Social Security benefits for those months an alien beneficiary or claimant is outside the U.S., and to determine if tax withholding applies. In addition, SSA uses the information to: (1) Allow beneficiaries or claimants to request a special payment exception in an SSA PO 00000 Frm 00129 Fmt 4703 Sfmt 4703 restricted country; (2) terminate supplemental medical insurance coverage for recipients who request it because they are, or will be, out of the U.S.; and (3) allow claimants to collect a lump sum death benefit if the number holder died outside the United States and we do not have information to determine whether the lump sum death benefit is payable under the Act. The respondents are Social Security claimants, or individuals entitled to Social Security benefits, who are, were, or will be residing outside the United States for three months or longer. E:\FR\FM\28APN1.SGM 28APN1 22513 Federal Register / Vol. 86, No. 80 / Wednesday, April 28, 2021 / Notices Type of Request: Revision of an OMBapproved information collection. Modality of completion Number of respondents Paper version—U.S. Residents .................. Paper version—Residents of a Tax Treaty Country ..................... Paper version—Nonresident aliens .......... Intranet version— (MCS)—U.S. Residents ......................... Intranet version— (MCS)—Residents of a Tax Treaty Country Intranet version— (MCS)—Nonresident aliens ........................ Totals .................... Average burden per response (minutes) Frequency of response Average theoretical hourly cost amount (dollars) * Estimated total annual burden (hours) Average wait time in field office (minutes) ** Total annual opportunity cost (dollars) *** 360 1 14 84 * $10.95 ** 24 *** $2,497 1,978 1 9 297 * 10.95 ........................ *** 3,252 1,379 1 8 184 * 10.95 ........................ *** 2,015 441 1 11 81 * 10.95 ........................ *** 887 2,426 1 6 243 * 10.95 ........................ *** 2,661 1,691 1 5 141 * 10.95 ........................ *** 1,544 8,275 ........................ ........................ 1,030 ........................ ........................ *** 12,856 * We based this figure on the average DI payments based on SSA’s current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.pdf). ** We based this figure on the average FY 2021 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. provides the SSA–4588 when we inform an individual that we detected an overpayment. Individuals may choose to make a one-time payment or recurring monthly payments by completing and submitting the SSA–4588. SSA uses the SSA–4589 electronic Intranet application only when individuals choose to telephone the Program Service Centers to make a one-time payment in 2. You Can Make Your Payment by Credit Card—0960–0462. Using information from Form SSA–4588 and its electronic application, Form SSA– 4589, SSA updates individuals’ Social Security records to reflect payments made on their overpayments. In addition, SSA uses this information to process payments through the appropriate credit card company. SSA Modality of completion Number of respondents Average burden per response (minutes) Frequency of response Estimated total annual burden (hours) lieu of completing Form SSA–4588. An SSA debtor contact representative completes the SSA–4589 electronic Intranet application. Respondents are Old Age Survivors and Disability Insurance (OASDI) beneficiaries and SSI recipients who have outstanding overpayments. Type of Request: Revision of an OMBapproved information collection. Average theoretical hourly cost amount (dollars) * Average wait time in field office (minutes) ** Total annual opportunity cost (dollars) *** SSA–4588 (Paper) ....... SSA–4589 (Electronic Intranet Application) 16,500 1 10 2,750 * $10.95 24 *** $102,383 258,500 1 5 21,542 * 10.95 ........................ *** 235,885 Totals .................... 275,000 ........................ ........................ 24,292 ........................ ........................ *** 338,268 jbell on DSKJLSW7X2PROD with NOTICES * We based this figure on the average DI payments based on SSA’s current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.pdf). ** We based this figure on the average FY 2021 wait times for field offices, based on SSA’s current management information data. *** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to respondents to complete the application. 3. Screen Pop—20 CFR 401.45—0960– 0790. Section 205(a) of the Act requires SSA to verify the identity of individuals who request a record or information pertaining to themselves, and to establish procedures for disclosing personal information. SSA established Screen Pop, an automated telephone process, to speed up verification for such individuals. Accessing Screen Pop, VerDate Sep<11>2014 19:17 Apr 27, 2021 Jkt 253001 callers enter their Social Security number (SSN) using their telephone keypad or speech technology prior to speaking with a National 800 Number Network (N8NN) agent. The automated Screen Pop application collects the SSN and routes it to the ‘‘Start New Call’’ Customer Help and Information (CHIP) screen. Functionality for the Screen Pop application ends once the SSN connects PO 00000 Frm 00130 Fmt 4703 Sfmt 4703 to the CHIP screen and the SSN routes to the agent’s screen. When the call connects to the N8NN agent, the agent can use the SSN to access the caller’s record as needed. The respondents for this collection are individuals who contact SSA’s N8NN to speak with an agent. Type of Request: Revision of an OMBapproved information collection. E:\FR\FM\28APN1.SGM 28APN1 22514 Federal Register / Vol. 86, No. 80 / Wednesday, April 28, 2021 / Notices Modality of completion Frequency of response Number of respondents Screen Pop ...................... 50,487,044 Average burden per response (minutes) 1 Average theoretical hourly cost amount (dollars) * Estimated total annual burden (hours) 1 841,451 Average wait time for teleservice centers (minutes) ** * $25.72 ** 17 Total annual opportunity cost (dollars) *** *** $389,558,027 * We based this figure on average U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/ oes_nat.htm). ** We based this figure on the average FY 2021 wait times for teleservice centers, 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. requires supervisory approval, and local or component Security Officer review prior to granting this access. The respondents are SSA employees and non-Federal Employees (contractors) who require access to SSA systems to perform their jobs. Note: Because SSA 4. Application for Access to SSA Systems—20 CFR 401.45—0960–0791. SSA uses Form SSA–120, Application for Access to SSA Systems, to allow limited access to SSA’s information resources for SSA employees and nonFederal employees (contractors). SSA Number of respondents Modality of completion Frequency of response Average burden per response (minutes) employees are Federal workers exempt from the requirements of the Paperwork Reduction Act, the burden below is only for SSA contractors. Type of Request: Revision of an OMBapproved information collection. Estimated total annual burden (hours) Average theoretical hourly cost amount (dollars) * Total annual opportunity cost (dollars) ** SSA–120 (paper version) ........................ SSA–120 (Internet version) ..................... 685 1,482 1 1 2 2 23 49 * $48.80 * 48.80 **$1,122 ** 2,391 Total .................................................. 2,167 ........................ ........................ 72 ........................ *** 3,513 * We based this figure on average Federal Executive Branch worker’s hourly wages, as reported by Bureau of Labor Statistics data (https:// www.bls.gov/oes/current/naics4_999100.htm). ** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to respondents to complete the application. 5. Request to Show Cause for Failure to Appear—20 CFR 404.938, 416.1438, and 404.957(b)(1)—0960–0794. When claimants who requested a hearing before a judge fail to appear at their scheduled hearing, the judge may reschedule the hearing if the claimants establish good cause for missing the hearings. To establish good cause, respondents must show proof of one of the following: (1) SSA did not properly notify the claimant of the hearing; or (2) an unexpected event occurred without sufficient time for the claimant to request a postponement. The claimants can use paper Form HA–L90 or HA– Number of respondents Modality of completion jbell on DSKJLSW7X2PROD with NOTICES L90–OP1 to provide their reason for not appearing at their scheduled hearings; or the claimants’ representatives can use Electronic Records Express (ERE), OMB Control No. 0960–0753, to submit the HA–L90 online. SSA uses the HA–L90 for new cases, and the HA–L90–OP1 for redeterminations cases. We need two versions of the paper form, as the judges follow different procedures when determining the good cause on redetermination cases (cases that have a prior decision and evidence on file), than they do for new cases (where we have no evidence on file). The ERE modality automatically adjusts for Frequency of response Average burden per response (minutes) redetermination cases, so we only need one version of the internet screens. If the judge determines the claimant established good cause for failure to appear at the hearing, the judge will schedule a supplemental hearing; if not, the judge will make a claims eligibility determination based on the claimants’ evidence of record. Respondents are claimants, or their representatives, seeking to establish good cause for failure to appear at a scheduled hearing before a judge. Type of Request: Revision of an OMBapproved information collection. Total annual burden (hours) Average theoretical hourly cost amount (dollars) * Total annual opportunity cost (dollars) ** HA–L90 .................................................... HA–L90–OP1 ........................................... 39,500 500 1 1 10 10 6,583 83 * $18.34 * 18.34 ** $120,732 ** 1,522 Totals ................................................ 40,000 ........................ ........................ 6,666 ........................ ** 122,254 * We based this figure on averaging both the average DI payments based on SSA’s current FY 2021 data (https://www.ssa.gov/legislation/ 2021FactSheet.pdf), and the average U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm). ** 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 19:17 Apr 27, 2021 Jkt 253001 PO 00000 Frm 00131 Fmt 4703 Sfmt 4703 E:\FR\FM\28APN1.SGM 28APN1 Federal Register / Vol. 86, No. 80 / Wednesday, April 28, 2021 / Notices Dated: April 22, 2021. Naomi Sipple, Reports Clearance Officer, Social Security Administration. [FR Doc. 2021–08800 Filed 4–27–21; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF TRANSPORTATION [Docket No. DOT–OST–2021–0045] Agency Request for Renewal of a Previously Approved Information Collection(s): Disadvantaged Business Enterprise Program Collections Office of the Secretary, DOT. Notice and request for comments. AGENCY: ACTION: The Department of Transportation (DOT) invites public comments about our intention to request the Office of Management and Budget (OMB) approval to renew information collections associated with DOT’s Disadvantaged Business Enterprise (DBE) and Airport Concessions DBE (ACDBE) program. These collections are: Uniform Report of DBE Awards or Commitments and Payments, the Uniform Certification Application Form, Annual Affidavit of No Change, DOT Personal Net Worth Form, and Reporting Requirements for Percentages of DBEs in Various Categories. The instruction page of the Uniform Certification Application will be modified to reflect recent updates to the DBE program’s gross receipts limitations that took effect after the 2018 OMB approval of the current application form. Specifically, the Department increased the DBE program regulation’s gross receipts limit for DBE firms from $23.98 million to $26.29 million and excluded Federal Aviation Administration (FAA) projects from being subject to the gross receipts limit. DATES: Written comments should be submitted by June 28, 2021. ADDRESSES: You may submit comments [identified by Docket No. DOT–OST– 2021–0045] through one of the following methods: • Federal eRulemaking Portal: http:// www.regulations.gov. Follow the online instructions for submitting comments. • Fax: 1–202–493–2251. • Mail or Hand Delivery: Docket Management Facility, U.S. Department of Transportation, 1200 New Jersey Avenue SE, West Building, Room W12– 140, Washington, DC 20590, between 9 a.m. and 5 p.m., Monday through Friday, except on Federal holidays. FOR FURTHER INFORMATION CONTACT: Marc Pentino, (202) 366–6968, jbell on DSKJLSW7X2PROD with NOTICES SUMMARY: VerDate Sep<11>2014 19:17 Apr 27, 2021 Jkt 253001 marc.pentino@dot.gov, or Aarathi Haig, aarathi.haig@dot.gov/Departmental Office of Civil Rights, Office of the Secretary, U.S. Department of Transportation, 1200 New Jersey Avenue SE, Washington, DC 20590 SUPPLEMENTARY INFORMATION: All five collections were previously approved under one OMB Control Number to allow DOT to more efficiently administer the DBE program. The information to be collected is necessary because it helps to ensure that State and local recipients that let federally funded contracts carry out their mandated responsibility to provide a level playing field for small businesses owned and controlled by socially and economically disadvantaged individuals. We are required to publish this notice in the Federal Register by the Paperwork Reduction Act of 1995, 44 U.S.C. Chapter 35, as amended (Pub. L. 104– 13). OMB Control Number: 2105–0510. Title: Disadvantaged Business Enterprise Program Collections. Form Numbers: Not applicable. Type of Review: Renewal of an information collection. Background: DOT’s DBE program is mandated by statute, including Section 1101(b) of the Fixing America’s Surface Transportation Act (FAST Act) (Pub. L. 114–94) and 49 U.S.C. 47113. The Department’s final regulations implementing these statutes are 49 CFR parts 23 and 26. The program is implemented by recipients of DOT financial assistance (State highway agencies, transit authorities, and airports). The ‘‘Uniform Report of DBE Awards or Commitments and Payments’’ is necessary for the Department to be able to carry out its oversight responsibilities. It implements statutory reporting requirements and 49 CFR. 26.11 and 26.47. The ‘‘Uniform Certification Application Form’’ is necessary to implement 49 CFR 26.83(c)(2) and determine whether a particular firm qualifies for certification as a DBE. The ‘‘Annual Affidavit of No Change’’ is mandated under 49 CFR 26.83(j) and is necessary to ensure the integrity of the DBE program that requires DBEs annually state that they remain eligible for the program. The ‘‘Personal Net Worth Form’’ is necessary to implement the requirement found in 49 CFR 26.67(a)(2) that a firm applying for DBE status must certify that the personal net worth of the owners does not exceed the current maximum threshold of $1.32 million. The ‘‘Percentages of DBEs in Various Categories’’ collection is necessary to PO 00000 Frm 00132 Fmt 4703 Sfmt 4703 22515 implement a long-standing statutory requirement calling on States to report annually, a list of small businesses certified as DBEs that are owned and controlled by socially and economically disadvantaged individuals, most recently included at section 1101(b)(4)(A) and (B) of the FAST Act. Submission of this information will also satisfy 49 CFR 26.11(e). The information collections support one of DOT’s strategic objectives of mission efficiency and support. The collection also helps ensure that State and local recipients that let federally funded contracts carry out their mandated responsibility to ensure that only eligible small businesses owned and controlled by socially and economically disadvantaged individuals may compete for such contracts as a DBE. Uniform Report of DBE Awards/ Commitments and Payments Respondents: State and local recipients of DOT funds. Number of Respondents: 1,198 recipients. Frequency: Once/twice a year. Number of Responses: 1,198 (one per recipient). Total Annual Burden: 315 hours and $61,000. Uniform Certification Application Form. Respondents: Firms applying for initial DBE or ACDBE certification. Number of Respondents: 9,500. Frequency: Once during initial certification. Number of Responses: 9,500 (one per respondent). Total Annual Burden: 40 hours and $2,000. Annual Affidavit of No Change Respondents: Firms that have DBE or ACDBE certification. Number of Respondents: 38,000. Frequency: Once per year. Number of Responses: 38,000 (one per respondent). Total Annual Burden: 3 hours per respondent. Personal Net Worth Form Respondents: Firms applying for DBE or ACDBE certification. Number of Respondents: 9,500. Frequency: Once. Number of Responses: One. Total Annual Burden: 20 hours per respondent. Percentage of DBEs in Various Categories Respondents: States (through their Unified Certification Programs). E:\FR\FM\28APN1.SGM 28APN1

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[Federal Register Volume 86, Number 80 (Wednesday, April 28, 2021)]
[Notices]
[Pages 22510-22515]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-08800]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2021-0011]


Agency Information Collection Activities: Proposed Request and 
Comment Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law 104-13, the 
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice 
includes a new collection, 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-2021-0011].

(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-
2021-0011].
    I. The information collections below are pending at SSA. SSA will 
submit them to OMB within 60 days from the date of this notice. To be 
sure we consider your comments, we must receive them no later than June 
28, 2021. Individuals can obtain copies of the collection instruments 
by writing to the above email address.
    1. Work-Disability Functional Assessment Battery (WD-FAB)--0960-
NEW.

Background

    SSA uses continuing disability reviews (CDR) to determine continued 
eligibility of program benefits for Social Security disability 
insurance (SSDI), and Supplemental Security Income (SSI) recipients. 
SSA is requesting clearance to administer the Work-Disability 
Functional Assessment Battery (WD-FAB) assessment to a sample of 
working-age SSDI and SSI program recipients who are due for their CDR. 
The WD-FAB is a self-reported assessment measuring whole person-
functioning at the activity level for eight work-related functional 
domains: (1) Basic Mobility; (2) Upper Body Function; (3) Fine Motor 
Function; (4) Community Mobility; (5) Communication and Cognition; (6) 
Resilience and Sociability; (7) Self- Regulation; and (8) Mood and 
Emotion. SSA will use the data the WD-FAB collects to assess the 
feasibility and value of incorporating the WD-FAB into SSA's CDR 
process with the intent of improving the CDR process. Section 1110(a) 
of the Social Security Act (Act) gives the Commissioner of Social 
Security the authority to help fund research or demonstration projects 
relating to the prevention and reduction of dependency. SSA contracted 
with Westat to conduct the WD-FAB data collection.

WD-FAB Project Description

    To assess the feasibility of incorporating the WD-FAB into the CDR 
process, this study will conduct two assessments. The first assessment 
is a baseline assessment of the WD-FAB and the second assessment, which 
we will conduct with the same individuals six months later, will detect 
any changes. Each survey will include three main components: 
Classification questions, WD-FAB questions, and follow-up questions. 
The classification questions and WD-FAB questions will be identical in 
each survey.
    Survey 1 will cover questions in the following domains:
     Classification questions:
    [cir] Demographic questions (age, gender, race, ethnicity, marital 
status, highest level of education completed);
    [cir] Questions on general health, mental health status, and work-
limiting conditions;
    [cir] 4-item set of Healthy Days core questions included in the 
state-based Behavioral Risk Factor Surveillance System;
    [cir] Questions from Form SSA-455;
     Veterans Item Health Survey;
     Items from WD-FAB; and
     3-5 follow-up questions to solicit feedback on the WD-FAB 
about ease of use, clarity of instructions, and perceived burden.
    Survey 2 will include the same classification questions included in 
Survey 1, and we will record responses using the WD-FAB Computer 
Assisted Telephone (CAT) system. CAT interviewers and respondents who

[[Page 22511]]

complete the surveys via the web will access the same web version of 
the survey instruments ensuring data consistency between these two 
modes of data collection. The CAT methodology uses a computer interface 
that rapidly tailors questions to the unique ability level of each 
claimant, allowing for fewer items to be administered, while providing 
an assessment that is proven to be accurate, precise, comprehensive, 
and efficient. Follow-up questions for Survey 2 will include 52 effort 
and symptom validity questions to examine certain symptoms related to 
function.
    Data collection for Survey 1 will begin in November 2021 and extend 
for 12 weeks through January 2022. The target goal for Survey 1 is to 
obtain 2,400 completed surveys from a participant pool of at least 
4,000 beneficiaries.
    Data collection for Survey 2 will begin in April 2022, 
approximately 6 months after Survey 1, and continue for 3 months 
through June 2022. For Survey 2, we will initiate contact with the 
2,400 beneficiaries who complete Survey 1. The target goal for Survey 2 
is to obtain 1,600 completed surveys.

Recruitment

    Participant recruitment will include multiple modes of contact. We 
will initiate contact by mailing a study invitation package. The study 
invitation package will include the following items:
    1. An invitation letter explaining the study and notifying selected 
recipients that we will call them soon;
    2. A study consent form explaining the background of the study, 
what will happen during the study, the risks and benefits associated 
with participating, and their rights as a study participant; and
    3. Instructions to download the study smartphone app to facilitate 
study participation.
    Following the mailing of the study invitation package, we will call 
recipients to conduct a short screener to ensure we are speaking to the 
sampled recipient and confirm that the recipient is eligible for the 
study. Eligibility criteria include aged 18 or over, ability to 
understand English, and ability to provide informed consent.
    To assess ability to provide informed consent, interviewers will 
read aloud a brief description of the study and then ask participants 
to name one thing participation involves. This vetted question will be 
a check for cognitive ability to provide consent. Failure to name one 
thing will deem the recipient ineligible for the study due to inability 
to provide informed consent.
    If the recipient is able to provide informed consent, the 
interviewer will review the main points on the consent form over the 
phone with the beneficiary. This will include:
     The voluntary nature of the study;
     That the study will not directly benefit them;
     Their rights as study participants;
     That they can withdraw at any time;
     Information on who to call if they have questions about 
their rights as research participants.
    The interviewer will then ask the recipient if they want to 
participate in the study and collect verbal informed consent. After 
collecting consent, interviewers will collect contact information from 
the recipient including home address, preferred telephone numbers, and 
email addresses. Interviewers will obtain permission to send reminders 
via text message for respondents with cell phones. We will send 
electronic reminders to participants about survey completion and to 
keep in touch with respondents between each wave of data collection. We 
will confirm the recipient's address to mail incentives after survey 
completion.
    At the close of the screener, recipients will have the option of 
completing the survey online themselves or over the telephone with an 
interviewer. Recipients who opt to do the survey with an interviewer on 
the phone will be given the opportunity to do the survey immediately 
following the screener, or at a later date and time that is convenient 
for the recipient. The interviewer will schedule an appointment to call 
the recipient at their preferred date and time. We will ask recipients 
who opt to complete the survey on the web to provide a valid email 
address where they can receive information about how to access the web 
survey. The recipient will receive an email with the survey URL and 
instructions for logging on. Recipients who elect to complete Survey 1 
or Survey 2 on their own via the web will also receive email reminders 
if they have not started the web survey within four days and another 
emailed reminder on day 5. We will administer the eligibility screener 
via telephone and obtain consent prior to each survey.
    Survey participants will receive a gift card in the amount of $50 
and $75 as a reimbursement for completing Survey 1 and Survey 2, 
respectively. The respondents are Study participants who are receiving 
SSA disability payments.
    Type of Request: Request for a new information collection.

                                                                     WD-FAB Survey 1
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                              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) *         **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Survey 1 competency screening and informed consent......           4,500               1               5             375        * $10.95       ** $4,106
Survey 1 (respondents)..................................           5,600               1              50           4,667         * 10.95       ** 51,104
                                                         -----------------------------------------------------------------------------------------------
    Total...............................................          10,100  ..............  ..............           5,042  ..............          55,210
--------------------------------------------------------------------------------------------------------------------------------------------------------


                                                                     WD-FAB Survey 2
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                              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) *         **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Survey 2 competency screener............................           2,400               1               5             200        * $10.95       ** $2,190

[[Page 22512]]

 
Survey 2 (respondents)..................................           3,200               1              75           4,000          *10.95       ** 43,800
                                                         -----------------------------------------------------------------------------------------------
    Total...............................................           5,600  ..............  ..............           4,200  ..............          45,990
--------------------------------------------------------------------------------------------------------------------------------------------------------


                                                            WD-FAB Grand Total Burden Figures
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                              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) *         **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Totals..................................................          15,700  ..............  ..............           9,242  ..............        $101,200
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average DI payments based on SSA's current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.pdf).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
  these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
  respondents to complete the application.

    2. Authorization for the Social Security Administration to Obtain 
Account Records from a Financial Institution and Request for Records 
(Medicare)--20 CFR 418.3420--0960-0729. The Medicare Prescription Drug, 
Improvement, and Modernization Act of 2003 (MMA) established the 
Medicare Part D program for voluntary prescription drug coverage of 
premium, deductible, and copayment costs for individuals with limited 
income and resources. The MMA mandates that the Government provide 
subsidies for those individuals who qualify for the program, and who 
meet eligibility criteria for help with premium, deductible, or co-
payment costs. SSA uses the SSA-4640, Authorization for the Social 
Security Administration to Obtain Account Records from a Financial 
Institution and Request for Records (Medicare), to determine if subsidy 
applicants or recipients qualify, or continue to qualify, for the 
subsidy. SSA uses Form SSA-4640 to: (1) Obtain the individual's consent 
to verify balances of financial institution (FI) accounts; and (2) 
obtain verification of such balances from the FI. Respondents are 
Medicare Part D program subsidy applicants or claimants, and their 
financial institutions.
    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) *         **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Medicare Part D Subsidy Applicants......................           5,000               1               1              83        * $10.95         ** $909
Financial Institutions..................................           5,000               1               4             333         * 37.56       ** 12,507
                                                         -----------------------------------------------------------------------------------------------
    Totals..............................................          10,000  ..............  ..............             416  ..............       ** 13,416
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on the average DI payments based on SSA's current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.pdf), and the
  average Business and Financial operations occupations, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes130000.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
  these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
  respondents to complete the application.

    II. SSA submitted the information collections below to OMB for 
clearance. Your comments regarding these information collections would 
be most useful if OMB and SSA receive them 30 days from the date of 
this publication. To be sure we consider your comments, we must receive 
them no later than May 28, 2021. Individuals can obtain copies of these 
OMB clearance packages by writing to [email protected].
    1. Supplement to Claim of Person Outside the United States--20 CFR 
422.505(b), 404.460, 404.463, and 42 CFR 407.27(c)--0960-0051. 
Claimants or beneficiaries (both United States (U.S.) citizens and 
aliens entitled to benefits) living outside the U.S. complete Form SSA-
21 as a supplement to an application for benefits. SSA collects the 
information to determine eligibility for U.S. Social Security benefits 
for those months an alien beneficiary or claimant is outside the U.S., 
and to determine if tax withholding applies. In addition, SSA uses the 
information to: (1) Allow beneficiaries or claimants to request a 
special payment exception in an SSA restricted country; (2) terminate 
supplemental medical insurance coverage for recipients who request it 
because they are, or will be, out of the U.S.; and (3) allow claimants 
to collect a lump sum death benefit if the number holder died outside 
the United States and we do not have information to determine whether 
the lump sum death benefit is payable under the Act. The respondents 
are Social Security claimants, or individuals entitled to Social 
Security benefits, who are, were, or will be residing outside the 
United States for three months or longer.

[[Page 22513]]

    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) **         ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
Paper version--U.S. Residents...........             360               1              14              84        * $10.95           ** 24      *** $2,497
Paper version--Residents of a Tax Treaty           1,978               1               9             297         * 10.95  ..............       *** 3,252
 Country................................
Paper version--Nonresident aliens.......           1,379               1               8             184         * 10.95  ..............       *** 2,015
Intranet version--(MCS)--U.S. Residents.             441               1              11              81         * 10.95  ..............         *** 887
Intranet version--(MCS)--Residents of a            2,426               1               6             243         * 10.95  ..............       *** 2,661
 Tax Treaty Country.....................
Intranet version--(MCS)--Nonresident               1,691               1               5             141         * 10.95  ..............       *** 1,544
 aliens.................................
                                         ---------------------------------------------------------------------------------------------------------------
    Totals..............................           8,275  ..............  ..............           1,030  ..............  ..............      *** 12,856
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average DI payments based on SSA's current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.pdf).
** We based this figure on the average FY 2021 wait times for field offices, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
  these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
  respondents to complete the application.

    2. You Can Make Your Payment by Credit Card--0960-0462. Using 
information from Form SSA-4588 and its electronic application, Form 
SSA-4589, SSA updates individuals' Social Security records to reflect 
payments made on their overpayments. In addition, SSA uses this 
information to process payments through the appropriate credit card 
company. SSA provides the SSA-4588 when we inform an individual that we 
detected an overpayment. Individuals may choose to make a one-time 
payment or recurring monthly payments by completing and submitting the 
SSA-4588. SSA uses the SSA-4589 electronic Intranet application only 
when individuals choose to telephone the Program Service Centers to 
make a one-time payment in lieu of completing Form SSA-4588. An SSA 
debtor contact representative completes the SSA-4589 electronic 
Intranet application. Respondents are Old Age Survivors and Disability 
Insurance (OASDI) beneficiaries and SSI recipients who have outstanding 
overpayments.
    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-4588 (Paper)........................          16,500               1              10           2,750        * $10.95              24    *** $102,383
SSA-4589 (Electronic Intranet                    258,500               1               5          21,542         * 10.95  ..............     *** 235,885
 Application)...........................
                                         ---------------------------------------------------------------------------------------------------------------
    Totals..............................         275,000  ..............  ..............          24,292  ..............  ..............     *** 338,268
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average DI payments based on SSA's current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.pdf).
** We based this figure on the average FY 2021 wait times for field offices, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
  these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
  respondents to complete the application.

    3. Screen Pop--20 CFR 401.45--0960-0790. Section 205(a) of the Act 
requires SSA to verify the identity of individuals who request a record 
or information pertaining to themselves, and to establish procedures 
for disclosing personal information. SSA established Screen Pop, an 
automated telephone process, to speed up verification for such 
individuals. Accessing Screen Pop, callers enter their Social Security 
number (SSN) using their telephone keypad or speech technology prior to 
speaking with a National 800 Number Network (N8NN) agent. The automated 
Screen Pop application collects the SSN and routes it to the ``Start 
New Call'' Customer Help and Information (CHIP) screen. Functionality 
for the Screen Pop application ends once the SSN connects to the CHIP 
screen and the SSN routes to the agent's screen. When the call connects 
to the N8NN agent, the agent can use the SSN to access the caller's 
record as needed. The respondents for this collection are individuals 
who contact SSA's N8NN to speak with an agent.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 22514]]



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                                                                                                            Average      Average wait
                                                                             Average       Estimated      theoretical      time for       Total annual
           Modality of completion                Number of     Frequency    burden per   total annual     hourly cost     teleservice   opportunity cost
                                                respondents   of response    response   burden (hours)      amount          centers       (dollars) ***
                                                                            (minutes)                     (dollars) *    (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Screen Pop..................................      50,487,044            1            1         841,451        * $25.72           ** 17  *** $389,558,027
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm).
** We based this figure on the average FY 2021 wait times for teleservice centers, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
  these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
  respondents to complete the application.

    4. Application for Access to SSA Systems--20 CFR 401.45--0960-0791. 
SSA uses Form SSA-120, Application for Access to SSA Systems, to allow 
limited access to SSA's information resources for SSA employees and 
non-Federal employees (contractors). SSA requires supervisory approval, 
and local or component Security Officer review prior to granting this 
access. The respondents are SSA employees and non-Federal Employees 
(contractors) who require access to SSA systems to perform their jobs. 
Note: Because SSA employees are Federal workers exempt from the 
requirements of the Paperwork Reduction Act, the burden below is only 
for SSA contractors.
    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-120 (paper version).................................             685               1               2              23        * $48.80        **$1,122
SSA-120 (Internet version)..............................           1,482               1               2              49         * 48.80        ** 2,391
                                                         -----------------------------------------------------------------------------------------------
    Total...............................................           2,167  ..............  ..............              72  ..............       *** 3,513
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average Federal Executive Branch worker's hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/naics4_999100.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
  these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
  respondents to complete the application.

    5. Request to Show Cause for Failure to Appear--20 CFR 404.938, 
416.1438, and 404.957(b)(1)--0960-0794. When claimants who requested a 
hearing before a judge fail to appear at their scheduled hearing, the 
judge may reschedule the hearing if the claimants establish good cause 
for missing the hearings. To establish good cause, respondents must 
show proof of one of the following: (1) SSA did not properly notify the 
claimant of the hearing; or (2) an unexpected event occurred without 
sufficient time for the claimant to request a postponement. The 
claimants can use paper Form HA-L90 or HA-L90-OP1 to provide their 
reason for not appearing at their scheduled hearings; or the claimants' 
representatives can use Electronic Records Express (ERE), OMB Control 
No. 0960-0753, to submit the HA-L90 online. SSA uses the HA-L90 for new 
cases, and the HA-L90-OP1 for redeterminations cases. We need two 
versions of the paper form, as the judges follow different procedures 
when determining the good cause on redetermination cases (cases that 
have a prior decision and evidence on file), than they do for new cases 
(where we have no evidence on file). The ERE modality automatically 
adjusts for redetermination cases, so we only need one version of the 
internet screens. If the judge determines the claimant established good 
cause for failure to appear at the hearing, the judge will schedule a 
supplemental hearing; if not, the judge will make a claims eligibility 
determination based on the claimants' evidence of record. Respondents 
are claimants, or their representatives, seeking to establish good 
cause for failure to appear at a scheduled hearing before a judge.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                              Average
                                                                                          Average burden                    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) *         **
--------------------------------------------------------------------------------------------------------------------------------------------------------
HA-L90..................................................          39,500               1              10           6,583        * $18.34     ** $120,732
HA-L90-OP1..............................................             500               1              10              83         * 18.34        ** 1,522
                                                         -----------------------------------------------------------------------------------------------
    Totals..............................................          40,000  ..............  ..............           6,666  ..............      ** 122,254
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on averaging both the average DI payments based on SSA's current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.pdf), and the average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm).
** 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 22515]]

    Dated: April 22, 2021.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2021-08800 Filed 4-27-21; 8:45 am]
BILLING CODE 4191-02-P