Agency Information Collection Activities: Proposed Request and Comment Request, 49403-49408 [2021-18988]
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Federal Register / Vol. 86, No. 168 / Thursday, September 2, 2021 / Notices
any other comments they may wish to
submit about the proposed rule change.
Interested persons are invited to
submit written data, views, and
arguments concerning the proposed rule
change, including whether the proposal
is consistent with the Act. Comments
may be submitted by any of the
following methods:
Electronic Comments
• Use the Commission’s internet
comment form (https://www.sec.gov/
rules/sro.shtml); or
• Send an email to rule-comments@
sec.gov. Please include File No. SR–
PEARL–2021–32 on the subject line.
lotter on DSK11XQN23PROD with NOTICES1
Paper Comments
• Send paper comments in triplicate
to Secretary, Securities and Exchange
Commission, 100 F Street NE,
Washington, DC 20549–1090.
All submissions should refer to File
Number SR–PEARL–2021–32. This file
number should be included on the
subject line if email is used. To help the
Commission process and review your
comments more efficiently, please use
only one method. The Commission will
post all comments on the Commission’s
internet website (https://www.sec.gov/
rules/sro.shtml). Copies of the
submission, all subsequent
amendments, all written statements
with respect to the proposed rule
change that are filed with the
Commission, and all written
communications relating to the
proposed rule change between the
Commission and any person, other than
those that may be withheld from the
public in accordance with the
provisions of 5 U.S.C. 552, will be
available for website viewing and
printing in the Commission’s Public
Reference Room, 100 F Street NE,
Washington, DC 20549, on official
business days between the hours of
10:00 a.m. and 3:00 p.m. Copies of the
filing also will be available for
inspection and copying at the principal
office of the Exchange. All comments
received will be posted without change.
Persons submitting comments are
cautioned that we do not redact or edit
personal identifying information from
comment submissions. You should
submit only information that you wish
to make available publicly. All
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17:33 Sep 01, 2021
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submissions should refer to File
Number SR–PEARL–2021–32 and
should be submitted on or before
September 23, 2021. Rebuttal comments
should be submitted by October 7, 2021.
VI. Conclusion
It is therefore ordered, pursuant to
Section 19(b)(3)(C) of the Act,54 that File
Number SR–PEARL–2021–32 be and
hereby is, temporarily suspended. In
addition, the Commission is instituting
proceedings to determine whether the
proposed rule change should be
approved or disapproved.
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.55
Vanessa A. Countryman,
Secretary.
[FR Doc. 2021–18948 Filed 9–1–21; 8:45 am]
BILLING CODE 8011–01–P
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2021–0034]
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 an
extension 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.
54 15
55 17
PO 00000
U.S.C. 78s(b)(3)(C).
CFR 200.30–3(a)(57) and (58).
Frm 00117
Fmt 4703
Sfmt 4703
49403
(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–2021–0034].
(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–2021–0034].
I. The information collection below is
pending at SSA. SSA will submit it 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 November 1, 2021.
Individuals can obtain copies of the
collection instrument by writing to the
above email address.
Registration for Appointed
Representative Services and Direct
Payment—0960–0732. SSA uses Form
SSA–1699 to register appointed
representatives of claimants before SSA
who:
• Want to register for direct payment
of fees;
• Registered for direct payment of
fees prior to 10/31/09, but need to
update their information;
• Registered as appointed
representatives on or after 10/31/09, but
need to update their information; or
• Received a notice from SSA
instructing them to complete this form.
By registering these individuals, SSA:
(1) Authenticates and authorizes them
to do business with us; (2) allows them
to access our records for the claimants
they represent; (3) facilitates direct
payment of authorized fees to appointed
representatives; and, (4) collects the
information we need to meet Internal
Revenue Service (IRS) requirements to
issue specific IRS forms if we pay an
appointed representative in excess of a
specific amount ($600). The
respondents are appointed
representatives who want to use Form
SSA–1699 for any of the purposes cited
in this Notice.
Type of Request: Revision of an OMBapproved information collection.
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Number of
respondents
Modality of completion
SSA–1699 .........................................................................
I
Average
burden per
response
(minutes)
Frequency of
response
I
10,382
I
1
Average
theoretical
hourly cost
amount
(dollars) *
Estimated total
annual burden
(hours)
I
20
I
3,461
* $71.59
Total annual
opportunity cost
(dollars) **
I
** $247,773
* We based this figure on average Lawyers hourly wages, as reported by Bureau of Labor Statistics data (www.bls.gov/oes/current/oes231011.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
October 4, 2021. Individuals can obtain
copies of these OMB clearance packages
by writing to OR.Reports.Clearance@
ssa.gov.
Individuals who wish to withdraw their
applications for benefits complete Form
SSA–521, or sign the completed form
for each request to withdraw. SSA uses
the information from Form SSA–521 to
process the request for withdrawal. The
respondents are applicants for
Retirement, Survivors, Disability, and
Health Insurance benefits.
1. Request for Withdrawal of
Application—20 CFR 404.640—0960–
0015. Form SSA–521, Request for
Withdrawal of Application, allows
claimants to specify which application
they want to withdraw and the reason
for the withdrawal. Form SSA–521 is
our preferred instrument for a
withdrawal request; however, any
written request for withdrawal signed
by the claimant or a proper applicant on
the claimant’s behalf will suffice.
Number of
respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency of
response
Type of Request: Revision of an OMBapproved information collection.
Average
theoretical
hourly cost
amount
(dollars) *
Estimated total
annual burden
(hours)
Total annual
opportunity cost
(dollars) **
Respondents applying for or receiving Retirement, Survivors, or Health Insurance benefits ..............................
Respondents applying for or receiving Disability benefits
60,753
14,374
1
1
5
5
5,063
1,198
* $10.95
* 10.95
** $55,440
** 13,118
Totals .........................................................................
75,127
........................
........................
6,261
........................
** 68,558
* 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. Statement of Employer—20 CFR
404.801–404.803—0960–0030. When
workers report they were paid wages but
cannot provide proof of those earnings,
and the wages do not appear in SSA’s
records of earnings, SSA uses Form
SSA–7011–F4, Statement of Employer,
to document the alleged wages.
Specifically, the agency uses the form to
resolve discrepancies in the individual’s
Social Security earnings record and to
process claims for Social Security
benefits. We only send Form SSA–
7011–F4 to employers if we are unable
Number of
respondents
Modality of completion
SSA–7011–F4 ...........................................................................
I
500
Average
burden per
response
(minutes)
Frequency of
response
I
1
I
30
able to locate the earnings information
within our own records. The
respondents are employers who can
verify wage allegations made by wage
earners.
Type of Request: Revision of an OMBapproved information collection.
Average
theoretical
hourly cost
amount
(dollars) *
Estimated total
annual burden
(hours)
I
250
I
* $27.07
Total annual
opportunity
cost
(dollars) **
I
** $6,768
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* 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#000000).
** 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. Request for Workers’
Compensation/Public Disability Benefit
Information—20 CFR 404.408(e)—0960–
0098. Individuals who received both
Social Security disability payments and
Worker’s Compensation/Public
Disability Benefits (WC/PDB) must
notify SSA about their WC/PDB, so that
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18:23 Sep 01, 2021
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the agency can reduce the claimants’
Social Security disability payments
accordingly. Recipients may submit
evidence of their WC/PDB, such as a
copy of their award notice or benefit
check, or have their WC/PDB provider
complete Form SSA–1709 to document
their WC/PDB to SSA. The respondents
PO 00000
Frm 00118
Fmt 4703
Sfmt 4703
are Federal, State, and local agencies,
insurance carriers, and public or private
self-insured companies administering
WC/PDB benefits to disability
recipients.
Type of Request: Revision of an OMBapproved information collection.
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Number of
respondents
Modality of completion
SSA–1709 .........................................................................
I
Average
burden per
response
(minutes)
Frequency of
response
I
120,000
I
1
I
15
Average
theoretical
hourly cost
amount
(dollars) *
Estimated total
annual burden
(hours)
30,000
I
* $26.65
Total annual
opportunity cost
(dollars) **
I
** $799,500
* We based this figure by averaging both the average Federal, State, and Local Government hourly wages (https://www.bls.gov/oes/current/naics3_999000.htm),
and the average Insurance Claims and Policy Processing Clerks hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/
oes439041.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.
4. A Statement of Care and
Responsibility for Beneficiary—20 CFR
404.2020, 404.2025, 408.620, 408.625,
416.620, and 416.625—0960–0109. SSA
uses the information from Form SSA–
788, Statement of Care and
Responsibility for Beneficiary, to verify
payee applicants’ statements of concern,
and to identify other potential payees.
SSA is concerned with selecting the
most qualified representative payee who
will use Social Security benefits in the
beneficiary’s best interest. SSA
considers factors such as the payee
applicant’s capacity to perform payee
duties; awareness of the beneficiary’s
situation and needs; demonstration of
past, and current concern for the
beneficiary’s well-being. If the payee
applicant does not have custody of the
Number of
respondents
Modality of completion
SSA–788 ...........................................................................
I
Average
burden per
response
(minutes)
Frequency of
response
I
134,000
I
1
beneficiary, SSA obtains information
from the custodian for evaluation
against information the applicant
provides. Respondents are individuals
who have custody of the beneficiary in
cases where someone else has filed to be
the beneficiary’s representative payee.
Type of Request: Revision of an OMBapproved information collection.
I
10
Average
theoretical
hourly cost
amount
(dollars) *
Estimated total
annual burden
(hours)
22,333
I
* $27.07
Total annual
opportunity cost
(dollars) **
I
** $604,554
* We based this figure on average U.S. citizen’s hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm#0000000).
** 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. Third Party Liability Information
Statement—42 CFR 433.136–433.139—
0960–0323. To reduce Medicaid costs,
Medicaid state agencies identify third
party insurers liable for medical care or
services for Medicaid beneficiaries.
Regulations at 42 CFR 433.136–433.139
require Medicaid state agencies to
obtain this information on Medicaid
applications and redeterminations as a
condition of Medicaid eligibility. States
may enter into agreements with the
Commissioner of Social Security to
make Medicaid eligibility
determinations for aged, blind, and
disabled beneficiaries in those states.
Applications for and redeterminations
of Supplemental Security Income (SSI)
eligibility in jurisdictions with such
agreements are applications and
redeterminations of Medicaid eligibility.
Under these agreements, SSA obtains
third party liability information using
Form SSA–8019–U2, Third Party
Number of
respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency of
response
Estimated total
annual burden
(hours)
Liability Information Statement, and
provides that information to the
Medicaid state agencies. The Medicaid
state agencies use the information to bill
third parties liable for medical care,
support, or services for a beneficiary to
guarantee that Medicaid remains the
payer of last resort. The respondents are
SSI claimants and recipients.
Type of Request: Revision of an OMBapproved information collection.
Average wait
time in field
office or for
teleservice
centers
(minutes) **
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity cost
(dollars) ***
SSA–8019–U2 (Paper) .........................
SSI Claims System (Intranet) ...............
200
35,257
1
1
6
6
20
3,526
* $19.01
* 19.01
........................
** 21
*** $380
*** 301,613
Totals .............................................
35,457
........................
........................
3,546
........................
........................
*** 301,993
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* 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).
** We based this figure on averaging both the average FY 2021 wait times for field offices and 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.
6. Certificate of Election for Reduced
Spouse’s Benefits—20 CFR 404.421—
0960–0398. SSA cannot pay reduced
Social Security benefits to an already
entitled spouse unless the spouse elects
to receive reduced benefits and is (1) at
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17:33 Sep 01, 2021
Jkt 253001
least age 62, but under full retirement
age; and (2) no longer caring for a child.
In this situation, spouses who decide to
elect reduced benefits must file Form
SSA–25, Certificate of Election for
Reduced Spouse’s Benefits. SSA uses
PO 00000
Frm 00119
Fmt 4703
Sfmt 4703
the information to pay qualified spouses
who elect to receive reduced benefits.
Respondents are entitled spouses
seeking reduced Social Security
benefits.
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Type of Request: Revision of an OMB
approved information collection.
Number of
respondents
Modality of completion
SSA–25 .............................................................................
I
Average
burden per
response
(minutes)
Frequency of
response
I
30,000
I
1
I
13
Average
theoretical
hourly cost
amount
(dollars) *
Estimated total
annual burden
(hours)
I
6,500
* $27.07
Total annual
opportunity cost
(dollars) **
I
** $175,955
* We based this figure on average U.S. citizen’s hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm#0000000)
** 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.
7. Coverage of Employees of State and
Local Governments—20 CFR part 404,
subpart M—0960–0425. The regulations
at 20 CFR part 404, subpart M prescribe
the rules for States to submit reports of
deposits and recordkeeping to SSA. SSA
requires States (and interstate
instrumentalities) to provide wage and
information in the future, if necessary.
The respondents are State and local
governments or interstate
instrumentalities.
Type of Request: Extension of an
OMB-approved information collection.
deposit contribution information for
pre-1987 tax years. Since not all States
have completely satisfied their pending
wage report and contribution liability
with SSA for pre-1987 tax years, SSA
needs these regulations until we collect
all pending items with the States, and
to allow for collection of this
Number of
respondents
Regulation section
Average
burden per
response
(minutes)
Frequency of
response
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
burden
(hours)
Total annual
opportunity
cost
(dollars) **
404. 1204 (a) & (b) ...................................................................
404.1215 ...................................................................................
404. 1216 (a) & (b) ...................................................................
52
52
52
1
1
1
30
60
60
26
52
52
* $28.74
* 28.74
* 28.74
** $747
** 1,494
** 1,494
Totals .................................................................................
156
........................
........................
130
........................
** 3,735
* We based this figure on an average of both the State Government hourly wages (https://www.bls.gov/oes/current/naics4_999200.htm), and the average Local
Government hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/naics4_999300.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.
8. Permanent Residence in the United
States Under Color of Law (PRUCOL)—
20 CFR 416.1615 and 416.1618—0960–
0451. Under 20 CFR 416.1415 and
416.1618, SSA requires claimants or
recipients to submit evidence of their
alien status when they apply for SSI
payments, and periodically thereafter as
part of the eligibility determination
process for SSI. When SSA cannot
verify evidence of alien status through
the regular claimant interview process,
SSA verifies the validity of the evidence
of PRUCOL for grandfathered
nonqualified aliens with the Department
of Homeland Security (DHS) using the
DHS Systemic Alien Verification for
Entitlements (SAVE) program. SSA
determines if the individual qualifies for
PRUCOL status based on the SAVE
program response. SSA does not
maintain any forms or applications for
respondents to use, rather, the
regulations listed in 20 CFR 416.1615
Number of
responses
Modality of completion
Personal Interview .....................................................................
I
1,049
Average
burden per
response
(minutes)
Frequency of
response
I
1
I
5
and 416.1618 specify the information
respondents need to submit to SSA to
show evidence of PRUCOL. Without
this information, SSA is unable to
determine whether the PRUCOL
individual is eligible for SSI payments.
Respondents are qualified and
unqualified aliens who apply for SSI
payments under PRUCOL.
Type of Request: Extension of an
OMB-approved information collection.
Average
theoretical
hourly cost
amount
(dollars) *
Estimated total
annual burden
(hours)
I
87
I
* $27.07
Total annual
opportunity
cost
(dollars) **
I
** $2,355
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* 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#000000).
** 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.
9. Request for Deceased Individual’s
Social Security Record—20 CFR
402.130—0960–0665. The Freedom of
Information Act (FOIA), at 5 U.S.C.
552(a)(3) of the U.S. Code, provides
instructions for members of the public
to request records from Federal
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17:33 Sep 01, 2021
Jkt 253001
Agencies. When a member of the public
requests an individual’s Social Security
record under FOIA, SSA needs the
name and address of the requestor as
well as a description of the requested
record to process the request. SSA uses
the information the respondent provides
PO 00000
Frm 00120
Fmt 4703
Sfmt 4703
on Form SSA–711, Request for Deceased
Individual’s Social Security Record, or
via an internet request through SSA’s
electronic Freedom of Information Act
(eFOIA) website, to: (1) Verify the wage
earner is deceased; and (2) access the
correct Social Security record.
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Respondents are members of the public
requesting deceased individuals’ Social
Security records.
Type of Request: Revision of an OMBapproved information collection.
Number of
respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency of
response
Average wait
time in field
office or for
teleservice
centers
(minutes) **
Average
theoretical
hourly cost
amount
(dollars) *
Estimated total
annual burden
(hours)
Total annual
opportunity cost
(dollars) ***
Internet Request through eFOIA ...........
SSA–711 (paper) ..................................
49,800
200
1
1
7
7
5,810
23
* $27.07
* 27.07
........................
** 24
*** $157,277
*** 2,788
Total ...............................................
50,000
........................
........................
5,833
........................
........................
*** 160,065
* 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#000000).
** 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.
10. Representative Payment—20 CFR
404.2011, 404.2025, 416.611, and
416.625—0960–0679. The regulations at
20 CFR 404.2011 and 416.611 allow
SSA to make payments to recipients’
representative payees if it may cause
substantial harm for the beneficiaries to
receive their payments directly. The
responsibility for the recipients, and
explain how they use the recipients’
payments to verify payee performance.
The respondents are Title II and Title
XVI recipients, and their representative
payees.
Type of Request: Revision of an OMBapproved information collection.
regulations allow beneficiaries to
dispute a finding that substantial harm
exists by providing SSA with evidence
to reevaluate the determination. In
addition, sections 20 CFR 404.2025 and
416.625 describe the information
representative payees must provide SSA
about their continuing relationship and
Number of
respondents
Regulation section
Average
burden per
response
(minutes)
Frequency of
response
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity
cost
(dollars) **
404.2011(a)(1); 416.611(a)(1) ...................................................
404.2025; 416.625 ....................................................................
260
3,090
1
1
15
6
65
309
* $19.01
* 19.01
** $1,236
** 5,874
Totals .................................................................................
3,350
........................
........................
374
........................
** 7,110
* 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.
11. Function Report—Adult—20 CFR
404.1512 & 416.912—0960–0681.
Individuals receiving or applying for
Social Security disability insurance
(SSDI) or SSI must provide medical
evidence and other proof SSA requires
to prove their disability. SSA staff, and,
on SSA’s behalf, State Disability
Determination Services’ (DDS)
employees, collect the information via
paper Form SSA–3373, or through an
in-person or telephone interview for
cases where we need information about
a claimant’s activities and abilities to
evaluate the claimant’s disability. We
use the information to document how
claimants’ disabilities affect their ability
to function, and to determine eligibility,
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
SSA–3373 .........................................
1,734,635
1
61
or continued eligibility, for SSI and
SSDI claims. The respondents are adult
Title II and Title XVI claimants, or
current recipients undergoing
redeterminations of benefits.
Type of Request: Revision of an OMBapproved information collection.
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Average wait
time in field
office or for
teleservice
centers
(minutes) **
Total annual
opportunity cost
(dollars) ***
1,763,546
* $10.95
** 21
*** $25,958,815
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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 averaging both the average FY 2021 wait times for field offices and 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.
12. Request for Business Entity
Taxpayer Information—0960–0731. SSA
requires law firms or other business
entities to complete Form SSA–1694,
Request for Business Entity Taxpayer
VerDate Sep<11>2014
17:33 Sep 01, 2021
Jkt 253001
Information, if they wish to serve as
appointed representatives and receive
direct payment of fees from SSA. SSA
uses the information to issue a Form
1099–MISC. SSA also uses the
PO 00000
Frm 00121
Fmt 4703
Sfmt 4703
information to allow business entities to
designate individuals to serve as entity
administrators authorized to perform
certain administrative duties on their
behalf, such as providing bank account
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Federal Register / Vol. 86, No. 168 / Thursday, September 2, 2021 / Notices
information, maintaining entity
information, and updating individual
affiliations. Respondents are law firms
or other business entities with attorneys
or other qualified individuals as
partners or employees who represent
claimants before SSA.
Number of
respondents
Modality of completion
Type of Request: Revision of an OMBapproved information collection.
Average
burden per
response
(minutes)
Frequency of
response
Average
theoretical
hourly cost
amount
(dollars) *
Estimated total
annual burden
(hours)
Total annual
opportunity
cost
(dollars) **
SSA–1694 (Paper) ....................................................................
BSO online submission .............................................................
366
103
1
1
20
20
122
34
* $61.03
* 61.03
** $7,446
** 2,075
Totals .................................................................................
469
........................
........................
156
........................
** 9,521
* We based this figure on the average legal occupation’s hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm#
00-00000).
** 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.
13. Financial Disclosure for Civil
Monetary Penalty (CMP) Debt—20 CFR
498—0960–0776. When SSA imposes a
CMP on individuals for various
fraudulent conduct related to SSAadministrated programs, those
individuals may request to pay the CMP
through benefit withholding, or an
installment agreement. To negotiate a
monthly payment amount, fair to both
the individual and the agency, SSA
needs financial information from the
individual. SSA uses Form SSA–640, to
obtain the information necessary to
determine a monthly installment
repayment rate for individuals owing a
Number of
respondents
Modality of completion
SSA–640 .......................................................
I
I
10
Average
burden per
response
(minutes)
Frequency of
response
1
I
120
CMP. The respondents are recipients of
Social Security benefits and nonentitled individuals who must repay a
CMP to the agency and choose to do so
using an installment plan.
Type of Request: Revision of an OMBapproved information collection.
Average
theoretical
hourly cost
amount
(dollars) *
Estimated total
annual burden
(hours)
I
20
I
* $19.01
Average wait
time in field
office
(minutes) **
I
** 24
Total annual
opportunity
cost
(dollars) ***
I
*** $456
* 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).
** 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.
Dated: August 30, 2021.
Naomi Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2021–18988 Filed 9–1–21; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice: 11528]
United States Passports Invalid for
Travel to, in, or Through the
Democratic People’s Republic of Korea
(DPRK)
Department of State.
Notice of extension of passport
travel restriction.
AGENCY:
ACTION:
On September 1, 2017, all
U.S. passports were declared invalid for
travel to, in, or through the Democratic
People’s Republic of Korea (DPRK),
unless specially validated for such
travel. The restriction was extended for
one year in 2018, 2019, and 2020. This
notice extends the restriction until
August 31, 2022, unless extended or
revoked by the Secretary of State.
lotter on DSK11XQN23PROD with NOTICES1
SUMMARY:
VerDate Sep<11>2014
17:33 Sep 01, 2021
Jkt 253001
The extension of the travel
restriction is in effect on September 2,
2021.
FOR FURTHER INFORMATION CONTACT:
Lawrence Kovaciny, Bureau of Consular
Affairs, Passport Services, Office of
Adjudication, 202–485–8800.
SUPPLEMENTARY INFORMATION: On
September 1, 2017, pursuant to the
authority of 22 U.S.C. 211a and
Executive Order 11295 (31 FR 10603),
and in accordance with 22 CFR
51.63(a)(3), all U.S. passports were
declared invalid for travel to, in, or
through the DPRK unless specially
validated for such travel. The restriction
was renewed on September 1, 2018,
September 1, 2019, and again for
another year effective September 1,
2020.
The Department of State has
determined there continues to be
serious risk to U.S. citizens and
nationals of arrest and long-term
detention constituting imminent danger
to their physical safety, as defined in 22
CFR 51.63(a)(3). Accordingly, all U.S.
passports shall remain invalid for travel
to, in, or through the DPRK unless
DATES:
PO 00000
Frm 00122
Fmt 4703
Sfmt 4703
specially validated for such travel under
the authority of the Secretary of State.
This extension to the restriction of
travel to the DPRK shall be effective
upon publication of this notice in the
Federal Register and shall expire on
August 31, 2022, unless extended or
revoked by the Secretary of State.
Dated: August 30, 2021.
Brian P. McKeon,
Deputy Secretary of State for Management
and Resources.
[FR Doc. 2021–19140 Filed 9–1–21; 8:45 am]
BILLING CODE 4710–13–P
SURFACE TRANSPORTATION BOARD
[Docket No. FD 36536]
Tulsa Base Railroad, L.L.C.—Lease
and Operation Exemption—Base, Inc.
Tulsa Base Railroad, L.L.C. (TBR), a
noncarrier, has filed a verified notice of
exemption under 49 CFR 1150.31 to
acquire by lease and to operate 745 feet
of track that extends south of the pointof-switch with BNSF Railway Company
E:\FR\FM\02SEN1.SGM
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]]>Agencies
[Federal Register Volume 86, Number 168 (Thursday, September 2, 2021)]
[Notices]
[Pages 49403-49408]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-18988]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2021-0034]
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 an extension 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-2021-0034].
(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-
2021-0034].
I. The information collection below is pending at SSA. SSA will
submit it 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
November 1, 2021. Individuals can obtain copies of the collection
instrument by writing to the above email address.
Registration for Appointed Representative Services and Direct
Payment--0960-0732. SSA uses Form SSA-1699 to register appointed
representatives of claimants before SSA who:
Want to register for direct payment of fees;
Registered for direct payment of fees prior to 10/31/09,
but need to update their information;
Registered as appointed representatives on or after 10/31/
09, but need to update their information; or
Received a notice from SSA instructing them to complete
this form.
By registering these individuals, SSA: (1) Authenticates and
authorizes them to do business with us; (2) allows them to access our
records for the claimants they represent; (3) facilitates direct
payment of authorized fees to appointed representatives; and, (4)
collects the information we need to meet Internal Revenue Service (IRS)
requirements to issue specific IRS forms if we pay an appointed
representative in excess of a specific amount ($600). The respondents
are appointed representatives who want to use Form SSA-1699 for any of
the purposes cited in this Notice.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 49404]]
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity cost
respondents response (minutes) (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-1699...................................... 10,382 1 20 3,461 * $71.59 ** $247,773
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average Lawyers hourly wages, as reported by Bureau of Labor Statistics data (www.bls.gov/oes/current/oes231011.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 October 4, 2021. Individuals can obtain copies of
these OMB clearance packages by writing to
[email protected].
1. Request for Withdrawal of Application--20 CFR 404.640--0960-
0015. Form SSA-521, Request for Withdrawal of Application, allows
claimants to specify which application they want to withdraw and the
reason for the withdrawal. Form SSA-521 is our preferred instrument for
a withdrawal request; however, any written request for withdrawal
signed by the claimant or a proper applicant on the claimant's behalf
will suffice. Individuals who wish to withdraw their applications for
benefits complete Form SSA-521, or sign the completed form for each
request to withdraw. SSA uses the information from Form SSA-521 to
process the request for withdrawal. The respondents are applicants for
Retirement, Survivors, Disability, and Health Insurance benefits.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average Estimated theoretical Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost opportunity cost
respondents response response burden (hours) amount (dollars) **
(minutes) (dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
Respondents applying for or receiving Retirement, 60,753 1 5 5,063 * $10.95 ** $55,440
Survivors, or Health Insurance benefits............
Respondents applying for or receiving Disability 14,374 1 5 1,198 * 10.95 ** 13,118
benefits...........................................
---------------------------------------------------------------------------------------------------
Totals.......................................... 75,127 .............. .............. 6,261 .............. ** 68,558
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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. Statement of Employer--20 CFR 404.801-404.803--0960-0030. When
workers report they were paid wages but cannot provide proof of those
earnings, and the wages do not appear in SSA's records of earnings, SSA
uses Form SSA-7011-F4, Statement of Employer, to document the alleged
wages. Specifically, the agency uses the form to resolve discrepancies
in the individual's Social Security earnings record and to process
claims for Social Security benefits. We only send Form SSA-7011-F4 to
employers if we are unable able to locate the earnings information
within our own records. The respondents are employers who can verify
wage allegations made by wage earners.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity
respondents response (minutes) (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-7011-F4....................................... 500 1 30 250 * $27.07 ** $6,768
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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#00-0000).
** 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. Request for Workers' Compensation/Public Disability Benefit
Information--20 CFR 404.408(e)--0960-0098. Individuals who received
both Social Security disability payments and Worker's Compensation/
Public Disability Benefits (WC/PDB) must notify SSA about their WC/PDB,
so that the agency can reduce the claimants' Social Security disability
payments accordingly. Recipients may submit evidence of their WC/PDB,
such as a copy of their award notice or benefit check, or have their
WC/PDB provider complete Form SSA-1709 to document their WC/PDB to SSA.
The respondents are Federal, State, and local agencies, insurance
carriers, and public or private self-insured companies administering
WC/PDB benefits to disability recipients.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 49405]]
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity cost
respondents response (minutes) (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-1709...................................... 120,000 1 15 30,000 * $26.65 ** $799,500
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure by averaging both the average Federal, State, and Local Government hourly wages (https://www.bls.gov/oes/current/naics3_999000.htm), and the average Insurance Claims and Policy Processing Clerks hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes439041.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.
4. A Statement of Care and Responsibility for Beneficiary--20 CFR
404.2020, 404.2025, 408.620, 408.625, 416.620, and 416.625--0960-0109.
SSA uses the information from Form SSA-788, Statement of Care and
Responsibility for Beneficiary, to verify payee applicants' statements
of concern, and to identify other potential payees. SSA is concerned
with selecting the most qualified representative payee who will use
Social Security benefits in the beneficiary's best interest. SSA
considers factors such as the payee applicant's capacity to perform
payee duties; awareness of the beneficiary's situation and needs;
demonstration of past, and current concern for the beneficiary's well-
being. If the payee applicant does not have custody of the beneficiary,
SSA obtains information from the custodian for evaluation against
information the applicant provides. Respondents are individuals who
have custody of the beneficiary in cases where someone else has filed
to be the beneficiary's representative payee.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity cost
respondents response (minutes) (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-788....................................... 134,000 1 10 22,333 * $27.07 ** $604,554
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm#00-00000).
** 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. Third Party Liability Information Statement--42 CFR 433.136-
433.139--0960-0323. To reduce Medicaid costs, Medicaid state agencies
identify third party insurers liable for medical care or services for
Medicaid beneficiaries. Regulations at 42 CFR 433.136-433.139 require
Medicaid state agencies to obtain this information on Medicaid
applications and redeterminations as a condition of Medicaid
eligibility. States may enter into agreements with the Commissioner of
Social Security to make Medicaid eligibility determinations for aged,
blind, and disabled beneficiaries in those states. Applications for and
redeterminations of Supplemental Security Income (SSI) eligibility in
jurisdictions with such agreements are applications and
redeterminations of Medicaid eligibility.
Under these agreements, SSA obtains third party liability
information using Form SSA-8019-U2, Third Party Liability Information
Statement, and provides that information to the Medicaid state
agencies. The Medicaid state agencies use the information to bill third
parties liable for medical care, support, or services for a beneficiary
to guarantee that Medicaid remains the payer of last resort. The
respondents are SSI claimants and recipients.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average wait
Average time in field
Number of Frequency of Average burden Estimated theoretical office or for Total annual
Modality of completion respondents response per response total annual hourly cost teleservice opportunity cost
(minutes) burden (hours) amount centers (dollars) ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-8019-U2 (Paper)................. 200 1 6 20 * $19.01 .............. *** $380
SSI Claims System (Intranet)........ 35,257 1 6 3,526 * 19.01 ** 21 *** 301,613
-------------------------------------------------------------------------------------------------------------------
Totals.......................... 35,457 .............. .............. 3,546 .............. .............. *** 301,993
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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).
** We based this figure on averaging both the average FY 2021 wait times for field offices and 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.
6. Certificate of Election for Reduced Spouse's Benefits--20 CFR
404.421--0960-0398. SSA cannot pay reduced Social Security benefits to
an already entitled spouse unless the spouse elects to receive reduced
benefits and is (1) at least age 62, but under full retirement age; and
(2) no longer caring for a child. In this situation, spouses who decide
to elect reduced benefits must file Form SSA-25, Certificate of
Election for Reduced Spouse's Benefits. SSA uses the information to pay
qualified spouses who elect to receive reduced benefits. Respondents
are entitled spouses seeking reduced Social Security benefits.
[[Page 49406]]
Type of Request: Revision of an OMB approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity cost
respondents response (minutes) (hours) amount (dollars) **
(dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-25........................................ 30,000 1 13 6,500 * $27.07 ** $175,955
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. citizen's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm#00-00000)
** 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.
7. Coverage of Employees of State and Local Governments--20 CFR
part 404, subpart M--0960-0425. The regulations at 20 CFR part 404,
subpart M prescribe the rules for States to submit reports of deposits
and recordkeeping to SSA. SSA requires States (and interstate
instrumentalities) to provide wage and deposit contribution information
for pre-1987 tax years. Since not all States have completely satisfied
their pending wage report and contribution liability with SSA for pre-
1987 tax years, SSA needs these regulations until we collect all
pending items with the States, and to allow for collection of this
information in the future, if necessary. The respondents are State and
local governments or interstate instrumentalities.
Type of Request: Extension of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden theoretical Total annual
Regulation section Number of Frequency of per response Total annual hourly cost opportunity
respondents response (minutes) burden (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
404. 1204 (a) & (b)..................................... 52 1 30 26 * $28.74 ** $747
404.1215................................................ 52 1 60 52 * 28.74 ** 1,494
404. 1216 (a) & (b)..................................... 52 1 60 52 * 28.74 ** 1,494
-----------------------------------------------------------------------------------------------
Totals.............................................. 156 .............. .............. 130 .............. ** 3,735
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on an average of both the State Government hourly wages (https://www.bls.gov/oes/current/naics4_999200.htm), and the average
Local Government hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/naics4_999300.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.
8. Permanent Residence in the United States Under Color of Law
(PRUCOL)--20 CFR 416.1615 and 416.1618--0960-0451. Under 20 CFR
416.1415 and 416.1618, SSA requires claimants or recipients to submit
evidence of their alien status when they apply for SSI payments, and
periodically thereafter as part of the eligibility determination
process for SSI. When SSA cannot verify evidence of alien status
through the regular claimant interview process, SSA verifies the
validity of the evidence of PRUCOL for grandfathered nonqualified
aliens with the Department of Homeland Security (DHS) using the DHS
Systemic Alien Verification for Entitlements (SAVE) program. SSA
determines if the individual qualifies for PRUCOL status based on the
SAVE program response. SSA does not maintain any forms or applications
for respondents to use, rather, the regulations listed in 20 CFR
416.1615 and 416.1618 specify the information respondents need to
submit to SSA to show evidence of PRUCOL. Without this information, SSA
is unable to determine whether the PRUCOL individual is eligible for
SSI payments. Respondents are qualified and unqualified aliens who
apply for SSI payments under PRUCOL.
Type of Request: Extension of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost opportunity
responses response (minutes) (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Personal Interview................................ 1,049 1 5 87 * $27.07 ** $2,355
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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#00-0000).
** 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.
9. Request for Deceased Individual's Social Security Record--20 CFR
402.130--0960-0665. The Freedom of Information Act (FOIA), at 5 U.S.C.
552(a)(3) of the U.S. Code, provides instructions for members of the
public to request records from Federal Agencies. When a member of the
public requests an individual's Social Security record under FOIA, SSA
needs the name and address of the requestor as well as a description of
the requested record to process the request. SSA uses the information
the respondent provides on Form SSA-711, Request for Deceased
Individual's Social Security Record, or via an internet request through
SSA's electronic Freedom of Information Act (eFOIA) website, to: (1)
Verify the wage earner is deceased; and (2) access the correct Social
Security record.
[[Page 49407]]
Respondents are members of the public requesting deceased individuals'
Social Security records.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average wait
Average time in field
Number of Frequency of Average burden Estimated theoretical office or for Total annual
Modality of completion respondents response per response total annual hourly cost teleservice opportunity cost
(minutes) burden (hours) amount centers (dollars) ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Internet Request through eFOIA...... 49,800 1 7 5,810 * $27.07 .............. *** $157,277
SSA-711 (paper)..................... 200 1 7 23 * 27.07 ** 24 *** 2,788
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Total........................... 50,000 .............. .............. 5,833 .............. .............. *** 160,065
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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#00-0000).
** 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.
10. Representative Payment--20 CFR 404.2011, 404.2025, 416.611, and
416.625--0960-0679. The regulations at 20 CFR 404.2011 and 416.611
allow SSA to make payments to recipients' representative payees if it
may cause substantial harm for the beneficiaries to receive their
payments directly. The regulations allow beneficiaries to dispute a
finding that substantial harm exists by providing SSA with evidence to
reevaluate the determination. In addition, sections 20 CFR 404.2025 and
416.625 describe the information representative payees must provide SSA
about their continuing relationship and responsibility for the
recipients, and explain how they use the recipients' payments to verify
payee performance. The respondents are Title II and Title XVI
recipients, and their representative payees.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Total annual
Regulation section Number of Frequency of per response total annual hourly cost opportunity
respondents response (minutes) burden (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
404.2011(a)(1); 416.611(a)(1)........................... 260 1 15 65 * $19.01 ** $1,236
404.2025; 416.625....................................... 3,090 1 6 309 * 19.01 ** 5,874
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Totals.............................................. 3,350 .............. .............. 374 .............. ** 7,110
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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.
11. Function Report--Adult--20 CFR 404.1512 & 416.912--0960-0681.
Individuals receiving or applying for Social Security disability
insurance (SSDI) or SSI must provide medical evidence and other proof
SSA requires to prove their disability. SSA staff, and, on SSA's
behalf, State Disability Determination Services' (DDS) employees,
collect the information via paper Form SSA-3373, or through an in-
person or telephone interview for cases where we need information about
a claimant's activities and abilities to evaluate the claimant's
disability. We use the information to document how claimants'
disabilities affect their ability to function, and to determine
eligibility, or continued eligibility, for SSI and SSDI claims. The
respondents are adult Title II and Title XVI claimants, or current
recipients undergoing redeterminations of benefits.
Type of Request: Revision of an OMB-approved information
collection.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Average wait
Average time in field
Number of Frequency of Average burden Estimated total theoretical office or for Total annual
Modality of completion respondents response per response annual burden hourly cost teleservice opportunity cost
(minutes) (hours) amount centers (dollars) ***
(dollars) * (minutes) **
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-3373........................................................... 1,734,635 1 61 1,763,546 * $10.95 ** 21 *** $25,958,815
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
* 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 averaging both the average FY 2021 wait times for field offices and 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.
12. Request for Business Entity Taxpayer Information--0960-0731.
SSA requires law firms or other business entities to complete Form SSA-
1694, Request for Business Entity Taxpayer Information, if they wish to
serve as appointed representatives and receive direct payment of fees
from SSA. SSA uses the information to issue a Form 1099-MISC. SSA also
uses the information to allow business entities to designate
individuals to serve as entity administrators authorized to perform
certain administrative duties on their behalf, such as providing bank
account
[[Page 49408]]
information, maintaining entity information, and updating individual
affiliations. Respondents are law firms or other business entities with
attorneys or other qualified individuals as partners or employees who
represent claimants before SSA.
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-1694 (Paper)........................................ 366 1 20 122 * $61.03 ** $7,446
BSO online submission................................... 103 1 20 34 * 61.03 ** 2,075
-----------------------------------------------------------------------------------------------
Totals.............................................. 469 .............. .............. 156 .............. ** 9,521
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* We based this figure on the average legal occupation's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm#00-00000).
** 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.
13. Financial Disclosure for Civil Monetary Penalty (CMP) Debt--20
CFR 498--0960-0776. When SSA imposes a CMP on individuals for various
fraudulent conduct related to SSA-administrated programs, those
individuals may request to pay the CMP through benefit withholding, or
an installment agreement. To negotiate a monthly payment amount, fair
to both the individual and the agency, SSA needs financial information
from the individual. SSA uses Form SSA-640, to obtain the information
necessary to determine a monthly installment repayment rate for
individuals owing a CMP. The respondents are recipients of Social
Security benefits and non-entitled individuals who must repay a CMP to
the agency and choose to do so using an installment plan.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated total theoretical Average wait Total annual
Modality of completion Number of Frequency of per response annual burden hourly cost time in field opportunity
respondents response (minutes) (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-640.......................... 10 1 120 20 * $19.01 ** 24 *** $456
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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).
** 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.
Dated: August 30, 2021.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2021-18988 Filed 9-1-21; 8:45 am]
BILLING CODE 4191-02-P
