Agency Information Collection Activities: Proposed Request and Comment Request, 22510-22515 [2021-08800]
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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.
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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.
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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-
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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
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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
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WD–FAB SURVEY 2
Number of
respondents
Modality of completion
Survey 2 competency screener ...............
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Frequency of
response
2,400
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Average
burden per
response
(minutes)
1
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Estimated
total annual
burden
(hours)
5
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200
28APN1
Average
theoretical
hourly cost
amount
(dollars) *
* $10.95
Total annual
opportunity
cost
(dollars) **
** $2,190
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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
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* 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
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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
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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.
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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
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* 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,
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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
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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.
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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
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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.
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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: https://
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
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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
]]>Agencies
[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]
=======================================================================
-----------------------------------------------------------------------
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]]
--------------------------------------------------------------------------------------------------------------------------------------------------------
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
