Agency Information Collection Activities: Comment Request, 44123-44125 [2021-17067]
Download as PDF
<![CDATA[
Federal Register / Vol. 86, No. 152 / Wednesday, August 11, 2021 / Notices
409 3rd Street SW, Suite 6050,
Washington, DC 20416, (202) 205–6734.
SUPPLEMENTARY INFORMATION: Notice is
hereby given that as a result of the
Administrator’s disaster declaration,
applications for disaster loans may be
filed at the address listed above or other
locally announced locations.
The following areas have been
determined to be adversely affected by
the disaster:
Primary Counties: Okmulgee.
Contiguous Counties:
Oklahoma: Creek, Mcintosh,
Muskogee, Okfuskee, Tulsa,
Wagoner.
The Interest Rates are:
Percent
For Physical Damage:
Homeowners with Credit Available Elsewhere ......................
Homeowners without Credit
Available Elsewhere ..............
Businesses with Credit Available Elsewhere ......................
Businesses
without
Credit
Available Elsewhere ..............
Non-Profit Organizations with
Credit Available Elsewhere ...
Non-Profit Organizations without Credit Available Elsewhere .....................................
For Economic Injury:
Businesses & Small Agricultural
Cooperatives without Credit
Available Elsewhere ..............
Non-Profit Organizations without Credit Available Elsewhere .....................................
3.250
1.625
5.760
2.880
2.000
2.000
2.880
2.000
The number assigned to this disaster
for physical damage is 17074 6 and for
economic injury is 17075 0.
The States which received an EIDL
Declaration # is Oklahoma.
(Catalog of Federal Domestic Assistance
Number 59008)
Isabella Guzman,
Administrator.
[FR Doc. 2021–17072 Filed 8–10–21; 8:45 am]
BILLING CODE 8026–03–P
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2021–0023]
jbell on DSKJLSW7X2PROD with NOTICES
Agency Information Collection
Activities: 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 one
VerDate Sep<11>2014
23:05 Aug 10, 2021
Jkt 253001
revision of an OMB-approved
information collection.
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–2021–0021].
(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–2021–0023].
SSA submitted the information
collection below to OMB for clearance.
Your comments regarding this
information collection 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
September 10, 2021. Individuals can
obtain copies of this OMB clearance
package by writing to
OR.Reports.Clearance@ssa.gov.
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 WorkDisability 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)
PO 00000
Frm 00136
Fmt 4703
Sfmt 4703
44123
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,
Disability Update Report
• 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
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,
E:\FR\FM\11AUN1.SGM
11AUN1
44124
Federal Register / Vol. 86, No. 152 / Wednesday, August 11, 2021 / Notices
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
WD–FAB SURVEY 2
Number of
resplondents
jbell on DSKJLSW7X2PROD with NOTICES
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 competency screener ...............
Survey 2 (respondents) ...........................
2,400
3,200
1
1
5
75
200
4,000
* $10.95
* 10.95
** $2,190
** 43,800
Total ..................................................
5,600
........................
........................
4,200
........................
45,990
VerDate Sep<11>2014
23:05 Aug 10, 2021
Jkt 253001
PO 00000
Frm 00137
Fmt 4703
Sfmt 4703
E:\FR\FM\11AUN1.SGM
11AUN1
Federal Register / Vol. 86, No. 152 / Wednesday, August 11, 2021 / Notices
44125
WD–FAB GRAND TOTAL BURDEN FIGURES
Number of
resplondents
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.
Dated: August 5, 2021.
Naomi Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2021–17067 Filed 8–10–21; 8:45 am]
BILLING CODE 4191–02–P
SURFACE TRANSPORTATION BOARD
[Docket No. MCF 21096]
Van Pool Transportation LLC—
Acquisition of Control—Salter
Transportation, Inc.
AGENCY:
Surface Transportation Board.
Notice tentatively approving
and authorizing finance transaction.
ACTION:
Van Pool Transportation LLC
(Applicant), a Delaware limited liability
company and a noncarrier, has filed an
application for authority after-the-fact to
acquire control of Salter Transportation,
Inc. (Salter), from Stephen O. Gadd
(Seller). The Board is tentatively
approving and granting after-the-fact
authorization of the transaction, and, if
no opposing comments are timely filed,
this notice will be the final Board
action.
SUMMARY:
Comments may be filed by
September 27, 2021. If any comments
are filed, Applicant may file a reply by
October 11, 2021. If no opposing
comments are filed by September 27,
2021, this notice shall be effective on
September 28, 2021.
DATES:
Comments may be filed
with the Board either via e-filing on the
Board’s website. In addition, one copy
of any comments must be sent to
Applicant’s representative: Andrew K.
Light, Scopelitis, Garvin, Light, Hanson
& Feary, P.C., 10 W Market Street, Suite
1400, Indianapolis, IN 46204.
jbell on DSKJLSW7X2PROD with NOTICES
ADDRESSES:
FOR FURTHER INFORMATION CONTACT:
Amy Ziehm at (202) 245–0391.
Assistance for the hearing impaired is
available through the Federal Relay
Service at (800) 877–8339.
VerDate Sep<11>2014
23:05 Aug 10, 2021
Jkt 253001
According
to the application,1 Applicant is a
Delaware limited liability company 2
that, prior to the transaction, owned and
controlled two other passenger motor
carriers—NRT Bus, Inc. (NRT), and
Trombly Motor Coach Service, Inc.
(Trombly).3 (Appl. 2.) Prior to the
transaction, Seller held all the issued
and outstanding equity share of Salter.
(Id. at 3.) On June 12, 2020, Seller
transferred all his ownership interest in
Salter to Applicant.4 (Appl. 1, 4.) Salter
held, and continues to hold, interstate
passenger motor carrier authority in the
United States through the Federal Motor
Carrier Safety Administrative (FMCSA).
(Id. at 4.)
Applicant provides the following
description of the three carriers:
• Salter primarily provides nonregulated student school bus
transportation services within the North
Shore area of Massachusetts and in
southern New Hampshire, and it
occasionally provides charter services
SUPPLEMENTARY INFORMATION:
1 The application initially was filed on May 4,
2021. On June 3, 2021, the Board issued a decision
requiring Applicant to submit additional
information in support of the application.
Applicant filed an unverified supplement to its
application on June 30, 2021, and a verification of
that supplement pursuant to 49 CFR 1182.2(c) on
July 12, 2021. Therefore, for purposes of calculating
the procedural schedule and statutory deadlines,
the filing date of the application is July 12, 2021.
See 49 CFR 1182.4(a).
2 Further information about Applicant’s corporate
structure and ownership can be found in the
Application. (See Appl. 5; id. at Ex. B.)
3 See Appl., May 4, 2021 Van Pool Transp. LLC—
Acquis. of Control—NRT Bus, Inc., MCF 21095
(seeking after-the-fact approval of its acquisition of
NRT and Trombly).
4 Applicant states it did not seek approval of the
transaction before it was completed because neither
Applicant nor Seller were aware that the
transaction was subject to the Board’s jurisdiction.
(Appl. 1.) Applicant now requests that the Board
approve the transaction after-the-fact. (Id.) The
Board has permitted parties to obtain after-the-fact
licensing authority for a transaction when the
failure to seek approval was without malice and by
mistake. See Winthrop Sargent—Aquis. of Control—
Plymouth & Brockton St. Ry., MCF 21089, slip op.
at 2 (STB served Jan. 3, 2020) (citing Allied Indus.
Dev. Corp.—Pet. for Declaratory Order, FD 35477,
slip. op. at 6 (STB served Sept. 17, 2015), and Gen.
Ry.—Exemption for Acquis. of R.R. Line—in
Osceola & Dickinson Cntys., Iowa, FD 34867, slip
op. at 5 (STB served June 15, 2007)).
PO 00000
Frm 00138
Fmt 4703
Sfmt 4703
when its buses are not in use for school
activities. At the time of the transaction,
Salter utilized a fleet of approximately
120 passenger vehicles, consisting of
school buses and mini-buses, and it
used approximately 150 drivers.
Currently, Salter utilizes a fleet of
approximately 137 passenger vehicles,
consisting of school buses and minibuses, and it uses approximately 103
drivers. (Suppl. Appl. 2.)
• NRT primarily provides nonregulated student school bus
transportation services in the
Commonwealth of Massachusetts—in
the counties of Essex, Middlesex,
Norfolk, Suffolk, and Worcester—and
occasionally provides charter services
when its buses are not in use for school
activities. At the time of the transaction,
it utilized a fleet of approximately 1,490
passenger vehicles, consisting of school
buses, mini-buses, and passenger vans,
and it used approximately 1,100 drivers.
It currently utilizes a fleet of
approximately 1,490 passenger vehicles,
consisting of school buses, mini-buses,
and vans; and it uses approximately
1,221 drivers. (Id. at 3–4.)
• Trombly primarily provides nonregulated student school bus
transportation services in the
Commonwealth of Massachusetts—in
the counties of Essex and Middlesex—
and occasionally provides charter
services when its buses are not in use
for school activities. At the time of the
transaction, it utilized a fleet of
approximately 266 passenger vehicles,
consisting of school buses, mini-buses,
and passenger vans, and Trombly used
approximately 280 drivers. Currently, it
utilizes a fleet of approximately 266
passenger vehicles, consisting of school
buses, mini-buses, and vans, and it uses
approximately 142 drivers. (Id. at 4;
Appl. 3.) 5
5 Additional information about these motor
carriers, including U.S. Department of
Transportation (USDOT) numbers, motor carrier
numbers, and USDOT safety fitness ratings, can be
found in the supplement to the application. (See
Suppl. Appl. 2–6, 9; id. at Corr. Ex. A.)
E:\FR\FM\11AUN1.SGM
11AUN1
]]>Agencies
[Federal Register Volume 86, Number 152 (Wednesday, August 11, 2021)]
[Notices]
[Pages 44123-44125]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-17067]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2021-0023]
Agency Information Collection Activities: 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 one revision of an OMB-approved information collection.
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-2021-0021].
(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-
2021-0023].
SSA submitted the information collection below to OMB for
clearance. Your comments regarding this information collection 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 September 10, 2021. Individuals can obtain copies of this
OMB clearance package by writing to [email protected].
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, Disability Update Report
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
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,
[[Page 44124]]
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 Estimated theoretical Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost opportunity
respondents response response burden amount cost
(minutes) (hours) (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 Estimated theoretical Total annual
Modality of Completion Number of Frequency of burden per total annual hourly cost opportunity
resplondents response response burden amount cost
(minutes) (hours) (dollars) * (dollars) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Survey 2 competency screener............................ 2,400 1 5 200 * $10.95 ** $2,190
Survey 2 (respondents).................................. 3,200 1 75 4,000 * 10.95 ** 43,800
-----------------------------------------------------------------------------------------------
Total............................................... 5,600 .............. .............. 4,200 .............. 45,990
--------------------------------------------------------------------------------------------------------------------------------------------------------
[[Page 44125]]
WD-FAB Grand Total Burden Figures
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Total annual
Modality of Completion Number of Frequency of burden per total annual hourly cost opportunity
resplondents response response burden amount cost
(minutes) (hours) (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.
Dated: August 5, 2021.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2021-17067 Filed 8-10-21; 8:45 am]
BILLING CODE 4191-02-P
