Agency Information Collection Activities: Proposed Request, 68034-68041 [2021-25969]
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Federal Register / Vol. 86, No. 227 / Tuesday, November 30, 2021 / Notices
increase position limits on options on
the Underlying ETFs.
C. Self-Regulatory Organization’s
Statement on Comments on the
Proposed Rule Change Received From
Members, Participants, or Others
No written comments were either
solicited or received.
III. Date of Effectiveness of the
Proposed Rule Change and Timing for
Commission Action
Because the foregoing proposed rule
change does not: (i) Significantly affect
the protection of investors or the public
interest; (ii) impose any significant
burden on competition; and (iii) become
operative for 30 days from the date on
which it was filed, or such shorter time
as the Commission may designate, it has
become effective pursuant to Section
19(b)(3)(A) of the Act 31 and Rule 19b–
4(f)(6) thereunder.32
A proposed rule change filed
pursuant to Rule 19b–4(f)(6) under the
Act 33 normally does not become
operative for 30 days after the date of its
filing. However, Rule 19b–4(f)(6)(iii) 34
permits the Commission to designate a
shorter time if such action is consistent
with the protection of investors and the
public interest. The Exchange has asked
the Commission to waive the 30-day
operative delay so that the proposed
rule change may become operative upon
filing. The Exchange states that waiver
of the operative delay would be
consistent with the protection of
investors and the public interest
because it will ensure fair competition
among the exchanges by allowing the
Exchange to immediately increase the
position limits for the products subject
to this proposal, which the Exchange
believes will provide consistency for
Phlx members and member
organizations that are also members at
Cboe where these increased position
limits are currently in place. For this
reason, the Commission believes that
waiver of the 30-day operative delay is
consistent with the protection of
investors and the public interest.
Therefore, the Commission hereby
waives the operative delay and
31 15
U.S.C. 78s(b)(3)(A).
CFR 240.19b–4(f)(6). In addition, Rule 19b–
4(f)(6)(iii) requires a self-regulatory organization to
give the Commission written notice of its intent to
file the proposed rule change, along with a brief
description and text of the proposed rule change,
at least five business days prior to the date of filing
of the proposed rule change, or such shorter time
as designated by the Commission. The Exchange
has satisfied this requirement.
33 17 CFR 240.19b–4(f)(6).
34 17 CFR 240.19b–4(f)(6)(iii).
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32 17
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designates the proposal as operative
upon filing.35
At any time within 60 days of the
filing of the proposed rule change, the
Commission summarily may
temporarily suspend such rule change if
it appears to the Commission that such
action is necessary or appropriate in the
public interest, for the protection of
investors, or otherwise in furtherance of
the purposes of the Act. If the
Commission takes such action, the
Commission shall institute proceedings
to determine whether the proposed rule
change should be approved or
disapproved.
business days between the hours of
10:00 a.m. and 3:00 p.m. Copies of such
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
submissions should refer to File
Number SR–Phlx–2021–70, and should
be submitted on or before December 21,
2021.
IV. Solicitation of Comments
Interested persons are invited to
submit written data, views, and
arguments concerning the foregoing,
including whether the proposed rule
change is consistent with the Act.
Comments may be submitted by any of
the following methods:
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.36
J. Matthew DeLesDernier,
Assistant Secretary.
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 Number SR–
Phlx–2021–70 on the subject line.
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–Phlx–2021–70. 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
35 For purposes only of waiving the 30-day
operative delay, the Commission also has
considered the proposed rule’s impact on
efficiency, competition, and capital formation. See
15 U.S.C. 78c(f).
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[FR Doc. 2021–25994 Filed 11–29–21; 8:45 am]
BILLING CODE 8011–01–P
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2021–0047]
Agency Information Collection
Activities: Proposed Request
The Social Security Administration
(SSA) publishes a list of information
collection packages requiring clearance
by the Office of Management and
Budget (OMB) in compliance with
Public Law 104–13, the Paperwork
Reduction Act of 1995, effective October
1, 1995. This notice includes revisions
and extensions 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–2021–0047].
(SSA) Social Security Administration,
OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 6401
Security Blvd., Baltimore, MD 21235,
36 17
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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–2021–0047].
The information collections below are
pending at SSA. SSA will submit them
to OMB within 60 days from the date of
this notice. To be sure we consider your
comments, we must receive them no
later than January 31, 2022. Individuals
can obtain copies of the collection
instruments by writing to the above
email address.
1. Application for a Social Security
Number Card, the Social Security
Number Application Process (SSNAP),
internet SSN Replacement Card
(iSSNRC) Application, and Online
Social Security Number Application
Process (oSSNAP)—20 CFR 422.103–
422.110—0960–0066. SSA collects
information on the SS–5 (used in the
United States) and SS–5–FS (used
outside the United States) to issue
original or replacement Social Security
cards. SSA also enters the application
data into the SSNAP application when
issuing a card via telephone or in
person. In addition, hospitals collect the
same information on SSA’s behalf for
newborn children through the
Enumeration-at-Birth process. In this
process, parents of newborns provide
hospital birth registration clerks with
information required to register these
newborns. Hospitals send this
information to State Bureaus of Vital
Statistics (BVS), and they send the
information to SSA’s National Computer
Center. SSA then uploads the data to the
SSA mainframe along with all other
enumeration data, and we assign the
newborn a Social Security number
(SSN) and issue a Social Security card.
Respondents can also use these
modalities to request a change in their
SSN records. In addition, the iSSNRC
internet application collects information
similar to the paper SS–5 for no-change
replacement SSN cards for adult U.S.
citizens. The iSSNRC modality allows
certain applicants for SSN replacement
cards to complete the internet
application and submit the required
Number of
respondents
Application scenario
Average
burden per
response
(minutes)
Frequency of
response
evidence online rather than completing
a paper Form SS–5. Finally, oSSNAP
collects information similar to that
which we collect on the paper SS–5 for
no change situations, with the exception
of name change, new or replacement
SSN cards for U.S. Citizens (adult and
minor children), and replacement cards
only for non-U.S. citizens. oSSNAP
allows these applicants for new or
replacement SSN cards to start the
application process on-line, receive a
list of evidentiary documents, and then
submit the application data to SSA for
further processing by SSA employees.
Applicants need to visit a local SSA
office to complete the application
process. The respondents for this
information collection are applicants for
original and replacement Social
Security cards, or individuals who wish
to change information in their SSN
records, who use any of the modalities
described above.
Type of Request: Revision of an OMBapproved information collection.
Average
theoretical
hourly cost
amount
(dollars) *
Estimated
total annual
burden
(hours)
Average
wait time in
field office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
EAB Modality
Hospital staff who relay the State birth certificate information to the BVS and SSA
through the EAB process ..........................
I
3,587,284
1
I
5
298,857
5
261,755
5
3,735
I
* $23.74
I
** 0
I
*** $7,094,865
iSSNRC Modality
Adult U.S. Citizens requesting a replacement card with no changes through the
iSSNRC .....................................................
Adult U.S. Citizens requesting a replacement card with a name change through
iSSNRC .....................................................
I
3,141,061
1
44,818
1
I
* 25.72
I
25.72
** 0
I
** 0
*** 6,732,341
I
*** 96,060
oSSNAP Modality
Adult U.S. Citizens providing information to
receive a replacement card through the
oSSNAP + ..................................................
Adult U.S. Citizens providing information to
receive an original card through the
oSSNAP + ..................................................
Adult Non-U.S. Citizens providing information to receive an original card through
the oSSNAP + ............................................
Adult Non-U.S. Citizens providing information to receive a replacement card
through the oSSNAP + ...............................
866,575
1
5
72,215
* 25.72
** 24
*** 10,772,683
31,521
1
5
2,627
25.72
* 24
*** 391,848
114,429
1
5
9,536
25.72
** 24
*** 1,422,505
63,925
1
5
5,327
25.72
** 24
794,673
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SSNAP/SS–5 Modality
Respondents who do not have to provide
parents’ SSNs ............................................
Respondents whom we ask to provide parents’ SSNs (when applying for original
SSN cards for children under age 12) ......
Applicants age 12 or older who need to answer additional questions so SSA can determine whether we previously assigned
an SSN ......................................................
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2,791,499
1
9
418,725
* 25.72
** 24
*** 39,488,545
102,258
1
9
15,339
* 25.72
** 24
*** 1,446,542
335,587
1
10
55,931
* 25.72
** 24
*** 4,891,069
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Federal Register / Vol. 86, No. 227 / Tuesday, November 30, 2021 / Notices
Number of
respondents
Application scenario
Applicants asking for a replacement SSN
card beyond the allowable limits (i.e., who
must provide additional documentation to
accompany the application) .......................
Average
burden per
response
(minutes)
Frequency of
response
2,428
1
Average
theoretical
hourly cost
amount
(dollars) *
Estimated
total annual
burden
(hours)
60
Average
wait time in
field office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
2,428
* 25.72
** 24
*** 87,427
15
125
* 25.72
** 24
*** 8,359
15
125
* 25.72
** 24
*** 8,359
........................
1,146,724
........................
........................
*** 73,235,275
Enumeration Quality Review
Authorization to SSA to obtain personal information cover letter .................................
Authorization to SSA to obtain personal information follow-up cover letter .................
I
500
1
500
1
I
Grand Total
Totals .....................................................
11,081,385
........................
+ The
number of respondents for this modality is an estimate based on google analytics data for the SS–5 form downloads from SSA.Gov.
* We based this figure on average Hospital Records Clerks (https://www.bls.gov/oes/current/oes292098.htm), and average U.S. worker’s hourly wages (https://
www.bls.gov/oes/current/oes_nat.htm#00-0000) as reported by the U.S. Bureau of Labor Statistics.
** We based this figure on the average FY 2021 wait times for field offices, based on SSA’s current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to respondents to complete the
application.
2. Response to Notice of Revised
Determination—20 CFR 404.913,
404.914, 404.992(b), 416.1413–416.1414,
and 416.1492(d)—0960–0347. When
SSA determines: (1) Claimants for initial
disability benefits do not actually have
a disability; or (2) current disability
recipients’ records show their disability
ceased, SSA notifies the disability
claimants, or recipients of this decision.
In response to this notice, the affected
claimants and disability recipients have
the following recourse: (1) They may
request a disability hearing to contest
SSA’s decision; and (2) they may submit
additional information or evidence for
SSA to consider. Disability claimants,
recipients, and their representatives use
Form SSA–765 to accomplish these two
actions. If respondents request the first
option, SSA’s Disability Hearings Unit
uses the form to schedule a hearing;
ensure an interpreter is present, if
required; and ensure the disability
recipients or claimants, and their
representatives, receive a notice about
the place and time of the hearing. If
respondents choose the second option,
SSA uses the form and other evidence
to reevaluate the claimant’s or
recipients’ case, and determine if the
new information or evidence will
change SSA’s decision. The respondents
are disability claimants, current
disability recipients, or their
representatives.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Average wait
time in field
office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
SSA–765 ......................
51
1
30
26
* $19.01
** 24
*** $874
* We based this figure by 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.
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3. Travel Expense Reimbursement—
20 CFR 404.999(d) and 416.1499—
0960–0434. The Social Security Act
(Act) provides for travel expense
reimbursement from Federal and State
agencies for claimant travel incidental
to medical examinations, and to parties,
their representatives, and all reasonably
necessary witnesses for travel exceeding
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75 miles to attend medical
examinations, reconsideration
interviews and proceedings before an
administrative law judge.
Reimbursement procedures require the
claimant to provide: (1) A list of
expenses incurred; and (2) receipts of
such expenses. Federal and state
personnel review the listings and
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receipts to verify the reimbursable
amount to the requestor. The
respondents are claimants for Title II
benefits and Title XVI payments, their
representatives, and witnesses.
Type of Request: Extension of an
OMB-approved information collection.
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Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount (dollars) *
Total annual
opportunity
cost
(dollars) ***
404.999(d) & 416.1499 ............................
60,000
1
10
10,000
* $19.01
** $190,100
* We based this figure by 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.
4. Pain Report Child—20 CFR
404.1512 and 416.912—0960–0540.
Before SSA can make a
disabilitydetermination for a child, we
require evidence from Supplemental
Security Income (SSI) applicants or
claimants to prove their disability. Form
SSA–3371–BK provides disability
interviewers, and SSI applicants or
claimants in self-help situations, with a
convenient way to record information
about claimants’ pain or other
symptoms. The State disability
determination services adjudicators and
judges then use the information from
Form SSA–3371–BK to assess the effects
of symptoms on function for purposes of
determining disability under the Act.
The respondents are applicants for, or
claimants of SSI payments.
Type of Request: Revision of an OMBapproved information collection.
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Average wait
time in field
office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
SSA–3371 ....................
1,500
1
15
375
* $10.95
** 24
*** $10,676
* We based this figure on the average DI payments based on SSA’s current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.pdf).
** We based this figure on the average FY 2021 wait times for field offices, based on SSA’s current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application;
rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual
charge to respondents to complete the application.
5. Internet Request for Replacement of
Forms SSA–1099 & SSA–1042S—20
CFR 401.45—0960–0583. Title II
beneficiaries use Forms SSA–1099 and
SSA–1042S, Social Security Benefit
Statement, to determine if their Social
Security benefits are taxable, and the
amount they need to report to the
Internal Revenue Service. In cases
where the original forms are unavailable
(e.g., lost, stolen, mutilated), an
individual may use SSA’s automated
telephone application to request a
replacement SSA–1099 and SSA–1042.
SSA uses the information from the
automated telephone requests to verify
the identity of the requestor and to
provide replacement copies of the
forms. SSA accepts information in other
ways, too; however, the automated
Number of
respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency of
response
telephone options reduce requests to the
National 800 Number Network (N8NN)
and visits to local Social Security field
offices (FO). The respondents are Title
II beneficiaries who wish to request a
replacement SSA–1099 or SSA–1042S
via telephone.
Type of Request: Revision of an OMBapproved information collection.
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Average wait
time for
teleservice
centers
(minutes) **
Total annual
opportunity
cost
(dollars) ***
Automated Telephone Requests ..................
N8NN .............................................................
Calls to local field offices ..............................
Other (program service centers) ...................
219,117
497,778
848,444
41,640
1
1
1
1
2
3
3
3
7,304
24,889
42,422
2,082
$27.07
27.07
27.07
27.07
** 19
** 19
** 19
** 19
*** $260,332
*** 887,084
*** 1,512,022
*** 74,199
Totals .....................................................
1,606,979
........................
........................
76,697
27.07
........................
*** 2,733,637
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* We based this figure on 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#000000).
** We based this figure by averaging the average FY 2021 wait times for teleservice centers, based on SSA’s current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to respondents to complete the
application.
6. The Ticket to Work and SelfSufficiency Program—20 CFR 411—
0960–0644. SSA’s Ticket to Work (TTW)
Program transitions Social Security
Disability Insurance (SSDI) and SSI
recipients toward independence by
allowing them to receive Social Security
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18:17 Nov 29, 2021
Jkt 256001
payments while maintaining
employment under the auspices of the
program. SSA uses service providers,
called Employment Networks (ENs), to
supervise participant progress through
the stages of TTW Program
participation, such as job searches and
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interviews; progress reviews; and
changes in ticket status. ENs can be
private for-profit and nonprofit
organizations, as well as state vocational
rehabilitation agencies (VRs). SSA and
the ENs utilize the TTW program
manager to operate the TTW Program
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and exchange information about
participants. For example, the ENs use
the program manager to provide updates
on tasks such as selecting a payment
system, or requesting payments for
helping the beneficiary achieve certain
work goals. Since the ENs are not PRAexempt, the multiple information
collections within the TTW program
manager require OMB approval. Most of
the categories of information are
necessary for SSA to: (1) Comply with
the Ticket to Work legislation; and (2)
provide proper oversight of the program.
SSA collects this information through
several modalities, including forms,
Number of
respondents
Modality of completion
20 CFR 411.140(d)(2)/Interactive
Voice Recognition Telephone ..............
a) 20 CFR 411.140(d)(2)/Ticket Assignment via Portal .....................................
a) 20 CFR 411.140(d)(3), 411.150(b)(3)
and 411.325(a)/State Agency Ticket
Assignment Form/SSA–1365 ...............
a) 20 CFR 411.140(d)(3); 411.325(a);
411.150(b)(3); 20 CFR 411.465./Individualized Work Plan/SSA–1370 .........
a) 20 CFR 411.166; 411.170(b)/Electronic File Submission ..........................
b) 20 CFR 411.145; 411.325/Requesting
Ticket Unassignments ..........................
b) 20 CFR 411.535(a)(1)(iii)/Notification
of VR Case Closures via Portal ...........
c) 20 CFR 411.200(b)/Requests for Certification of Work and Educational
Progress/SSA–1375 .............................
d) 20 CFR 411.505/Selecting a Payment
System ..................................................
e) 20 CFR 411.400—411.420; 20 CFR
411.325(d) and 411.415/Reporting Referral Agreement Activity ......................
f) 20 CFR 411.575/Requesting EN Payments/SSA–1391 or SSA–1398 ...........
f) 20 CFR 411.560 and 411.581/Requesting Split Payment/SSA–1401 ......
g) 20 CFR 411.325(f)/Proof of Relationship .......................................................
g) 20 CFR 411.325(f)/Certification of
Services ................................................
g) 20 CFR 411.325(f)/Annual Performance Outcome Report ..........................
h) 20 CFR 411.435, 411.615, and
411.625/Dispute Resolution .................
i) 20 CFR 411.320/EN Contract
Changes/SSA–1374 .............................
j) 20 CFR 411.200(b)/WISE Webinar
Registration Page .................................
j) 20 CFR 411.200(b)/WISE Webinar
Survey ..................................................
Frequency of
response
Average
burden per
response
(minutes)
electronic exchanges, and written
documentation. The respondents are the
ENs or state VRs, SSDI beneficiaries,
and blind or disabled SSI recipients
working under the auspices of the TTW
Program. Type of Request: Revision of
an OMB-approved information
collection.
Average
theoretical
hourly cost
amount
(dollars) *
Estimated total
annual burden
(hours)
Total annual
opportunity
cost (dollars) **
a)
Totals ................................................
6,000
1
3
300
* $15.43
** $4,629
91,484
1
2
3,049
** 15.43
** 47,046
948
1
15
237
* 15.43
** 3,657
26,007
1
60
26,007
* 15.43
** 401,288
4,104
1
5
342
* 15.43
** 5,277
2,494
1
15
624
* 15.43
** 9,628
136,478
1
11
25,021
* 15.43
** 386,074
179
1
30
90
* 15.43
** 1,389
33
1
10
6
* 15.43
** 93
31
1
15
8
* 15.43
** 123
1,704
1
40
1,136
* 15.43
** 17,528
5
1
20
2
* 15.43
** 31
6,870
1
20
2,290
* 15.43
** 35,335
2,438
1
20
813
* 15.43
** 12,545
507
1
15
127
* 15.43
** 1,960
196
1
120
392
* 15.43
** 6,049
929
1
5
77
* 15.43
** 1,188
4,000
1
3
200
* 15.43
** 3,086
1,776
1
3
89
* 15.43
** 1,373
286,183
........................
60,810
........................
........................
** 938,299
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* We based these figures by averaging the average hourly wages for Social and Human Service Assistants (https://www.bls.gov/oes/current/
oes211093.htm); Rehabilitation Counselors (https://www.bls.gov/oes/current/oes211015.htm); and 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.
7. Representative Payment Policies
and Administrative Procedures for
Imposing Penalties for False or
Misleading Statements or Withholding
of Information—0960–0740. This
information collection request
comprises several regulation sections
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that provide additional safeguards for
Social Security beneficiaries’ whose
representative payees receive their
payment. SSA requires representative
payees to notify them of any event or
change in circumstances that would
affect receipt of benefits or performance
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of payee duties. SSA uses the
information to determine continued
eligibility for benefits, the amount of
benefits due and if the payee is suitable
to continue servicing as payee. The
respondents are representative payees
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who receive and use benefits on behalf
of Social Security beneficiaries.
Type of Collection: Revision of an
OMB-approved information collection.
Number of
respondents
Regulation sections
Average
burden per
response
(minutes)
Frequency of
response
Estimated total
annual burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
404.2035(d)—Paper/Mail ..............................
404.2035(d)—Office interview/Intranet .........
404.2035(f)—Paper/Mail ...............................
404.2035(f)—Office interview/Intranet ..........
416.635(d)—Paper/Mail ................................
416.635(d)—Office interview/Intranet ...........
416.635(f)—Paper/Mail .................................
416.635(f)—Office interview/Intranet ............
30,489
579,291
304
5,792
16,630
305,316
166
3,159
1
1
1
1
1
1
1
1
5
5
5
5
5
5
5
5
2,541
48,274
25
483
1,386
25,443
14
263
* $27.07
* 27.07
** 27.07
* 27.07
* 27.07
* 27.07
* 27.07
* 27.07
Totals .....................................................
941,147
........................
........................
78,429
........................
Average wait
time in field
office or for
teleservice
centers
(minutes) **
Total annual
opportunity
cost
(dollars) ***
** 21
*** $68,785
*** 6,795,274
*** 677
*** 67,946
*** 37,519
*** 3,581,469
*** 379
*** 37,059
........................
*** 10,589,108
** 21
** 21
**21
* We based this figure on 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#000000).
** We based this figure by averaging 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.
8. Protecting the Public and Our
Personnel To Ensure Operational
Effectiveness (RIN 0960–AH35),
Regulation 3729I—20 CFR 422.905 and
422.906—0960–0796. SSA published
regulations for the process we follow
when we restrict individuals from
receiving in-person services in our field
offices and provide them, instead, with
alternative services. We published these
rules to create a safer environment for
our personnel and members of the
public who use our facilities, while
ensuring we continue to serve the
American people with as little
disruption to our operations as possible.
Under our regulations at 20 CFR
422.905, an individual for whom we
restrict access to our facilities has the
opportunity to appeal our decision
within 60 days of the date of the
restrictive access and alternative service
notice. To appeal, restricted individuals
must submit a written request stating
why they believe SSA should rescind
the restriction and allow them to
conduct business with us on a face-toface basis in one of our offices. There is
no printed form for this request; rather,
restricted individuals create their own
written statement of appeal, and submit
it to a sole decision-maker in the
regional office of the region where the
restriction originated. The individuals
may also provide additional
documentation to support their appeal.
Under 20 CFR 422.906, if the individual
does not appeal the decision within the
60 days, if we restricted the individual
prior to the effective date of this
regulation, or if the appeal results in a
denial, the individual has another
Number of
respondents
Regulation sections
Frequency of
response
Average
burden per
response
(minutes)
opportunity to request review of the
restriction after a three-year period. To
submit this request for review, restricted
individuals may re-submit a written
appeal of the decision. The same criteria
apply as for the original appeal: (1) It
must be in writing; (2) it must go to a
sole decision-maker in the regional
office of the region where the restriction
originated for review; and (3) it may
accompany supporting documentation.
We make this periodic review available
to all restricted individuals once every
three years. Respondents for this
collection are individuals appealing
their restrictions from in-person services
at SSA field offices.
Type of Request: Extension of an
OMB-approved information collection.
Average
theoretical
hourly cost
amount
(dollars) *
Estimated total
annual burden
(hours)
Total annual
opportunity
cost
(dollars) **
20 CFR 422.905 ......................................
20 CFR 422.906 ......................................
75
75
1
1
15
20
19
25
* $19.01
* 19.01
** $361
** 475
Totals ................................................
150
........................
........................
44
........................
** $836
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* We based this figure by 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.
9. Promoting Opportunity
Demonstration—0960–0809. Section
823 of the Bipartisan Budget Act of 2015
required SSA to carry out the Promoting
Opportunity Demonstration (POD) to
test a new benefit offset formula for
SSDI beneficiaries. Therefore, SSA is
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18:17 Nov 29, 2021
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undertaking POD, a demonstration to
evaluate the affect the new policy will
have on SSDI beneficiaries and their
families in several critical areas. We
previously obtained OMB approval for
this demonstration and are close to
completing the project. In this
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Sfmt 4703
information collection request, we are
seeking to renew the approval for both
the POD Monthly Earnings and
Impairment-related work Expenses
(IRWE) Reporting Form, and the POD
End of Year reporting (EOYR)
Documentation. The POD
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implementation team collects earnings
and IRWE data from POD treatment
group subjects whose monthly earnings
exceed the POD threshold. The POD
implementation team submits the data it
collects from treatment group subjects to
SSA. SSA uses the data to apply the
POD offset to treatment group subjects’
SSDI benefits. Respondents have two
options for reporting their earnings and
IRWE documentation contained in the
POD Monthly Form and the POD EOYR
Modality of completion
POD Monthly Earnings
and Impairment-related work Expenses
(IRWE) Reporting
Form—Paper Version
(faxed in) ..................
POD Monthly Earnings
and Impairment-related work Expenses
(IRWE) Reporting
Form—Internet
Version .....................
POD End of Year reporting (EOYR) Documentation ................
Totals ....................
Number of
respondents
Form: Paper (mail or fax) or an online
reporting portal. Respondents are
encouraged to submit their earnings and
IRWE documentation monthly but can
submit it the following year in advance
of SSA’s end of year reconciliation
process. While the collection of the
earnings and IRWE data from
respondents on the POD Monthly Form
and the POD EOYR Forms is voluntary,
failure to submit data could result in the
inaccurate calculation of SSDI benefits.
Frequency of
response
Average
burden per
response
(minutes)
Number of
responses
Note: We have completed the survey
portion of this demonstration project
and expect to finish collecting the data
by the end of the third quarter of fiscal
year 2022.
Respondents are SSDI beneficiaries,
who provided written consent before
agreeing to participate in the study and
whom we randomly assigned to one of
the two study treatment groups.
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) **
1,000
6
6,000
40
4,000
* $27.07
** $108,280
1,000
6
6,000
5
500
* 27.07
** 13,535
2,000
1
2,000
8
267
* 27.07
** 7,228
4,000
........................
14,000
........................
4,767
........................
** 129,043
* We based this figure on 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#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.
10. Tribal Council Coverage
Agreement—0960–812. Section 218A of
the Social Security Act grants voluntary
Social Security coverage to Indian tribal
council members. The coverage is
voluntary for tribal council members;
however, if the tribe wishes to obtain
Number of
respondents
Modality of completion
lotter on DSK11XQN23PROD with NOTICES1
Social Security coverage, they must
complete the agreement. Each tribe
requesting coverage fills out one
agreement. SSA employees collect this
information via paper forms SSA–177 &
SSA–177–OP1, Indian Tribal Council
Coverage Agreement. The respondents
Frequency of
response
Average
burden per
response
(minutes)
are Indian tribal councils who wish to
receive Social Security coverage for
their members.
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) **
SSA–177 ..................................................
SSA–177–OP1 .........................................
6
6
1
1
10
10
1
1
* $19.01
* 19.01
** $19
** 19
Totals ................................................
12
........................
........................
2
........................
** $38
* We based this figure by averaging both the average DI payments based on SSA’s current FY 2021 data (https://www.ssa.gov/legislation/
2021FactSheet.pdf), and the average U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/
current/oes_nat.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
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Federal Register / Vol. 86, No. 227 / Tuesday, November 30, 2021 / Notices
Dated: November 23, 2021.
Naomi Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2021–25969 Filed 11–29–21; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice: 11588]
30-Day Notice of Proposed Information
Collection: Request for Overseas U.S.
Citizen Vital Records Services
Notice of request for public
comment and submission to OMB of
proposed collection of information.
ACTION:
The Department of State is
seeking Office of Management and
Budget (OMB) approval for the
information collection described below.
In accordance with the Paperwork
Reduction Act of 1995, we are
requesting comments on this collection
from all interested individuals and
organizations. The purpose of this
notice is to allow 30 days for public
comment preceding submission of the
collection to OMB.
DATES: The Department will accept
comments from the public up to
December 30, 2021.
ADDRESSES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this information
collection by selecting ‘‘Currently under
30-day Review—Open for Public
Comments’’ or by using the search
function. Direct requests for additional
information regarding the collection
listed in this notice, including requests
for copies of the proposed collection
instrument, and supporting documents
to PPTFormsOfficer@state.gov. You
must include the DS form number and
information collection title.
SUPPLEMENTARY INFORMATION:
• Title of Information Collection:
Request for Overseas U.S. Citizen Vital
Records Services.
• OMB Control Number: None.
• Type of Request: New Collection.
• Originating Office: Department of
State, Bureau of Consular Affairs,
Passport Services, Office of Program
Management and Operational Support
(CA/PPT/S/PMO/CS).
• Form Number: DS–5542.
• Respondents: Individuals.
• Estimated Number of Respondents:
16,846.
• Estimated Number of Responses:
16,846.
lotter on DSK11XQN23PROD with NOTICES1
SUMMARY:
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18:17 Nov 29, 2021
Jkt 256001
• Average Time per Response: 40
minutes.
• Total Estimated Burden Time:
11,231 hours.
• Frequency: On Occasion.
• Obligation to Respond: Required to
Obtain a Benefit.
We are soliciting public comments to
permit the Department to:
• Evaluate whether the proposed
information collection is necessary for
the proper functions of the Department.
• Evaluate the accuracy of our
estimate of the time and cost burden for
this proposed collection, including the
validity of the methodology and
assumptions used.
• Enhance the quality, utility, and
clarity of the information to be
collected.
• Minimize the reporting burden on
those who are to respond, including the
use of automated collection techniques
or other forms of information
technology.
Please note that comments submitted
in response to this notice are public
record. Before including any detailed
personal information, you should be
aware that your comments as submitted,
including your personal information,
will be available for public review.
Abstract of Proposed Collection
The Request for Overseas U.S. Citizen
Vital Records Services is submitted to
the Office of Record Management to
request certified or authenticated copies
of overseas U.S. citizen vital records
such as Consular Reports of Birth/Death
Abroad, Certificates of Witness to
Marriage, and Panama Canal Zone
documents pursuant to authorized
requests. Requests for correction,
amendment, or replacement of such
vital records may be made using this
form also.
Methodology
A PDF fillable form will be available
on the Department’s website,
travel.state.gov, where it can be printed
for manual signature and submission.
The Request for Overseas U.S. Citizen
Vital Records Services form may be
submitted by mail to request certified or
authenticated copies of overseas U.S.
citizen vital records maintained by the
Office of Record Management. Requests
for correction, amendment, or
replacement of such vital records may
be made using this form also.
Kevin E. Bryant,
Deputy Director, Office of Directives
Management, Department of State.
[FR Doc. 2021–26011 Filed 11–29–21; 8:45 am]
BILLING CODE 4710–06–P
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68041
DEPARTMENT OF STATE
[Public Notice: 11584]
30-Day Notice of Proposed Information
Collection: Request for Authentication
Service in the United States
Notice of request for public
comment and submission to OMB of
proposed collection of information.
ACTION:
The Department of State is
seeking Office of Management and
Budget (OMB) approval for the
information collection described below.
In accordance with the Paperwork
Reduction Act of 1995, we are
requesting comments on this collection
from all interested individuals and
organizations. The purpose of this
notice is to allow 30 days for public
comment preceding submission of the
collection to OMB.
DATES: The Department will accept
comments from the public up to
December 30, 2021.
ADDRESSES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this information
collection by selecting ‘‘Currently under
30-day Review—Open for Public
Comments’’ or by using the search
function. You must include the DS form
number (DS–4194), information
collection title, and the OMB control
number in any correspondence (if
applicable). Direct requests for
additional information regarding the
collection listed in this notice,
including requests for copies of the
proposed collection instrument, and
supporting documents to
PPTFormsOfficer@state.gov. You must
include the DS form number (DS–4194)
and information collection title.
SUPPLEMENTARY INFORMATION:
• Title of Information Collection:
Request for Authentications Service DS–
4194.
• OMB Control Number: None.
• Type of Request: Existing
Information Collection Request without
OMB Control Number.
• Originating Office: Bureau of
Consular Affairs, Passport Services,
Office of Program Management and
Operational Support (CA/PPT/S/PMO).
• Form Number: DS–4194.
• Respondents: This information
collection will be used by members of
the public who wish to authenticate a
document in the United States.
• Estimated Number of Respondents:
47,094.
• Estimated Number of Responses:
47,094.
SUMMARY:
E:\FR\FM\30NON1.SGM
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]]>Agencies
[Federal Register Volume 86, Number 227 (Tuesday, November 30, 2021)]
[Notices]
[Pages 68034-68041]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-25969]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2021-0047]
Agency Information Collection Activities: Proposed Request
The Social Security Administration (SSA) publishes a list of
information collection packages requiring clearance by the Office of
Management and Budget (OMB) in compliance with Public Law 104-13, the
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice
includes revisions and extensions 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-2021-0047].
(SSA) Social Security Administration, OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 6401 Security Blvd., Baltimore, MD
21235,
[[Page 68035]]
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-
2021-0047].
The information collections below are pending at SSA. SSA will
submit them to OMB within 60 days from the date of this notice. To be
sure we consider your comments, we must receive them no later than
January 31, 2022. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Application for a Social Security Number Card, the Social
Security Number Application Process (SSNAP), internet SSN Replacement
Card (iSSNRC) Application, and Online Social Security Number
Application Process (oSSNAP)--20 CFR 422.103-422.110--0960-0066. SSA
collects information on the SS-5 (used in the United States) and SS-5-
FS (used outside the United States) to issue original or replacement
Social Security cards. SSA also enters the application data into the
SSNAP application when issuing a card via telephone or in person. In
addition, hospitals collect the same information on SSA's behalf for
newborn children through the Enumeration-at-Birth process. In this
process, parents of newborns provide hospital birth registration clerks
with information required to register these newborns. Hospitals send
this information to State Bureaus of Vital Statistics (BVS), and they
send the information to SSA's National Computer Center. SSA then
uploads the data to the SSA mainframe along with all other enumeration
data, and we assign the newborn a Social Security number (SSN) and
issue a Social Security card. Respondents can also use these modalities
to request a change in their SSN records. In addition, the iSSNRC
internet application collects information similar to the paper SS-5 for
no-change replacement SSN cards for adult U.S. citizens. The iSSNRC
modality allows certain applicants for SSN replacement cards to
complete the internet application and submit the required evidence
online rather than completing a paper Form SS-5. Finally, oSSNAP
collects information similar to that which we collect on the paper SS-5
for no change situations, with the exception of name change, new or
replacement SSN cards for U.S. Citizens (adult and minor children), and
replacement cards only for non-U.S. citizens. oSSNAP allows these
applicants for new or replacement SSN cards to start the application
process on-line, receive a list of evidentiary documents, and then
submit the application data to SSA for further processing by SSA
employees. Applicants need to visit a local SSA office to complete the
application process. The respondents for this information collection
are applicants for original and replacement Social Security cards, or
individuals who wish to change information in their SSN records, who
use any of the modalities described above.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Average wait Total annual
Application scenario Number of Frequency of per response total annual hourly cost time in field opportunity
respondents response (minutes) burden (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
EAB Modality
--------------------------------------------------------------------------------------------------------------------------------------------------------
Hospital staff who relay the State birth 3,587,284 1 5 298,857 * $23.74 ** 0 *** $7,094,865
certificate information to the BVS and
SSA through the EAB process............
--------------------------------------------------------------------------------------------------------------------------------------------------------
iSSNRC Modality
--------------------------------------------------------------------------------------------------------------------------------------------------------
Adult U.S. Citizens requesting a 3,141,061 1 5 261,755 * 25.72 ** 0 *** 6,732,341
replacement card with no changes
through the iSSNRC.....................
Adult U.S. Citizens requesting a 44,818 1 5 3,735 25.72 ** 0 *** 96,060
replacement card with a name change
through iSSNRC.........................
--------------------------------------------------------------------------------------------------------------------------------------------------------
oSSNAP Modality
--------------------------------------------------------------------------------------------------------------------------------------------------------
Adult U.S. Citizens providing 866,575 1 5 72,215 * 25.72 ** 24 *** 10,772,683
information to receive a replacement
card through the oSSNAP \+\............
Adult U.S. Citizens providing 31,521 1 5 2,627 25.72 * 24 *** 391,848
information to receive an original card
through the oSSNAP \+\.................
Adult Non-U.S. Citizens providing 114,429 1 5 9,536 25.72 ** 24 *** 1,422,505
information to receive an original card
through the oSSNAP \+\.................
Adult Non-U.S. Citizens providing 63,925 1 5 5,327 25.72 ** 24 794,673
information to receive a replacement
card through the oSSNAP \+\............
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSNAP/SS-5 Modality
--------------------------------------------------------------------------------------------------------------------------------------------------------
Respondents who do not have to provide 2,791,499 1 9 418,725 * 25.72 ** 24 *** 39,488,545
parents' SSNs..........................
Respondents whom we ask to provide 102,258 1 9 15,339 * 25.72 ** 24 *** 1,446,542
parents' SSNs (when applying for
original SSN cards for children under
age 12)................................
Applicants age 12 or older who need to 335,587 1 10 55,931 * 25.72 ** 24 *** 4,891,069
answer additional questions so SSA can
determine whether we previously
assigned an SSN........................
[[Page 68036]]
Applicants asking for a replacement SSN 2,428 1 60 2,428 * 25.72 ** 24 *** 87,427
card beyond the allowable limits (i.e.,
who must provide additional
documentation to accompany the
application)...........................
--------------------------------------------------------------------------------------------------------------------------------------------------------
Enumeration Quality Review
--------------------------------------------------------------------------------------------------------------------------------------------------------
Authorization to SSA to obtain personal 500 1 15 125 * 25.72 ** 24 *** 8,359
information cover letter...............
Authorization to SSA to obtain personal 500 1 15 125 * 25.72 ** 24 *** 8,359
information follow-up cover letter.....
--------------------------------------------------------------------------------------------------------------------------------------------------------
Grand Total
--------------------------------------------------------------------------------------------------------------------------------------------------------
Totals.............................. 11,081,385 .............. .............. 1,146,724 .............. .............. *** 73,235,275
--------------------------------------------------------------------------------------------------------------------------------------------------------
\+\ The number of respondents for this modality is an estimate based on google analytics data for the SS-5 form downloads from SSA.Gov.
* We based this figure on average Hospital Records Clerks (https://www.bls.gov/oes/current/oes292098.htm), and average U.S. worker's hourly wages
(https://www.bls.gov/oes/current/oes_nat.htm#00-0000) as reported by the U.S. Bureau of Labor Statistics.
** We based this figure on the average FY 2021 wait times for field offices, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
2. Response to Notice of Revised Determination--20 CFR 404.913,
404.914, 404.992(b), 416.1413-416.1414, and 416.1492(d)--0960-0347.
When SSA determines: (1) Claimants for initial disability benefits do
not actually have a disability; or (2) current disability recipients'
records show their disability ceased, SSA notifies the disability
claimants, or recipients of this decision. In response to this notice,
the affected claimants and disability recipients have the following
recourse: (1) They may request a disability hearing to contest SSA's
decision; and (2) they may submit additional information or evidence
for SSA to consider. Disability claimants, recipients, and their
representatives use Form SSA-765 to accomplish these two actions. If
respondents request the first option, SSA's Disability Hearings Unit
uses the form to schedule a hearing; ensure an interpreter is present,
if required; and ensure the disability recipients or claimants, and
their representatives, receive a notice about the place and time of the
hearing. If respondents choose the second option, SSA uses the form and
other evidence to reevaluate the claimant's or recipients' case, and
determine if the new information or evidence will change SSA's
decision. The respondents are disability claimants, current disability
recipients, or their representatives.
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-765.......................... 51 1 30 26 * $19.01 ** 24 *** $874
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure by 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.
3. Travel Expense Reimbursement--20 CFR 404.999(d) and 416.1499--
0960-0434. The Social Security Act (Act) provides for travel expense
reimbursement from Federal and State agencies for claimant travel
incidental to medical examinations, and to parties, their
representatives, and all reasonably necessary witnesses for travel
exceeding 75 miles to attend medical examinations, reconsideration
interviews and proceedings before an administrative law judge.
Reimbursement procedures require the claimant to provide: (1) A list of
expenses incurred; and (2) receipts of such expenses. Federal and state
personnel review the listings and receipts to verify the reimbursable
amount to the requestor. The respondents are claimants for Title II
benefits and Title XVI payments, their representatives, and witnesses.
Type of Request: Extension of an OMB-approved information
collection.
[[Page 68037]]
--------------------------------------------------------------------------------------------------------------------------------------------------------
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) * ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
404.999(d) & 416.1499............................. 60,000 1 10 10,000 * $19.01 ** $190,100
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure by 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.
4. Pain Report Child--20 CFR 404.1512 and 416.912--0960-0540.
Before SSA can make a disabilitydetermination for a child, we require
evidence from Supplemental Security Income (SSI) applicants or
claimants to prove their disability. Form SSA-3371-BK provides
disability interviewers, and SSI applicants or claimants in self-help
situations, with a convenient way to record information about
claimants' pain or other symptoms. The State disability determination
services adjudicators and judges then use the information from Form
SSA-3371-BK to assess the effects of symptoms on function for purposes
of determining disability under the Act. The respondents are applicants
for, or claimants of SSI payments.
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-3371......................... 1,500 1 15 375 * $10.95 ** 24 *** $10,676
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average DI payments based on SSA's current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.pdf).
** We based this figure on the average FY 2021 wait times for field offices, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
5. Internet Request for Replacement of Forms SSA-1099 & SSA-1042S--
20 CFR 401.45--0960-0583. Title II beneficiaries use Forms SSA-1099 and
SSA-1042S, Social Security Benefit Statement, to determine if their
Social Security benefits are taxable, and the amount they need to
report to the Internal Revenue Service. In cases where the original
forms are unavailable (e.g., lost, stolen, mutilated), an individual
may use SSA's automated telephone application to request a replacement
SSA-1099 and SSA-1042. SSA uses the information from the automated
telephone requests to verify the identity of the requestor and to
provide replacement copies of the forms. SSA accepts information in
other ways, too; however, the automated telephone options reduce
requests to the National 800 Number Network (N8NN) and visits to local
Social Security field offices (FO). The respondents are Title II
beneficiaries who wish to request a replacement SSA-1099 or SSA-1042S
via telephone.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average Average wait
Average Estimated theoretical time for Total annual
Modality of completion Number of Frequency of burden per total annual hourly cost teleservice opportunity
respondents response response burden (hours) amount centers cost
(minutes) (dollars) * (minutes) ** (dollars) ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
Automated Telephone Requests............ 219,117 1 2 7,304 $27.07 ** 19 *** $260,332
N8NN.................................... 497,778 1 3 24,889 27.07 ** 19 *** 887,084
Calls to local field offices............ 848,444 1 3 42,422 27.07 ** 19 *** 1,512,022
Other (program service centers)......... 41,640 1 3 2,082 27.07 ** 19 *** 74,199
---------------------------------------------------------------------------------------------------------------
Totals.............................. 1,606,979 .............. .............. 76,697 27.07 .............. *** 2,733,637
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on 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#00-0000).
** We based this figure by averaging the average FY 2021 wait times for teleservice centers, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
6. The Ticket to Work and Self-Sufficiency Program--20 CFR 411--
0960-0644. SSA's Ticket to Work (TTW) Program transitions Social
Security Disability Insurance (SSDI) and SSI recipients toward
independence by allowing them to receive Social Security payments while
maintaining employment under the auspices of the program. SSA uses
service providers, called Employment Networks (ENs), to supervise
participant progress through the stages of TTW Program participation,
such as job searches and interviews; progress reviews; and changes in
ticket status. ENs can be private for-profit and nonprofit
organizations, as well as state vocational rehabilitation agencies
(VRs). SSA and the ENs utilize the TTW program manager to operate the
TTW Program
[[Page 68038]]
and exchange information about participants. For example, the ENs use
the program manager to provide updates on tasks such as selecting a
payment system, or requesting payments for helping the beneficiary
achieve certain work goals. Since the ENs are not PRA-exempt, the
multiple information collections within the TTW program manager require
OMB approval. Most of the categories of information are necessary for
SSA to: (1) Comply with the Ticket to Work legislation; and (2) provide
proper oversight of the program. SSA collects this information through
several modalities, including forms, electronic exchanges, and written
documentation. The respondents are the ENs or state VRs, SSDI
beneficiaries, and blind or disabled SSI recipients working under the
auspices of the TTW Program. 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) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
a) 20 CFR 411.140(d)(2)/Interactive Voice Recognition 6,000 1 3 300 * $15.43 ** $4,629
Telephone..............................................
a) 20 CFR 411.140(d)(2)/Ticket Assignment via Portal.... 91,484 1 2 3,049 ** 15.43 ** 47,046
a) 20 CFR 411.140(d)(3), 411.150(b)(3) and 411.325(a)/ 948 1 15 237 * 15.43 ** 3,657
State Agency Ticket Assignment Form/SSA-1365...........
a) 20 CFR 411.140(d)(3); 411.325(a); 411.150(b)(3); 20 26,007 1 60 26,007 * 15.43 ** 401,288
CFR 411.465./Individualized Work Plan/SSA-1370.........
a) 20 CFR 411.166; 411.170(b)/Electronic File Submission 4,104 1 5 342 * 15.43 ** 5,277
b) 20 CFR 411.145; 411.325/Requesting Ticket 2,494 1 15 624 * 15.43 ** 9,628
Unassignments..........................................
b) 20 CFR 411.535(a)(1)(iii)/Notification of VR Case 136,478 1 11 25,021 * 15.43 ** 386,074
Closures via Portal....................................
c) 20 CFR 411.200(b)/Requests for Certification of Work 179 1 30 90 * 15.43 ** 1,389
and Educational Progress/SSA-1375......................
d) 20 CFR 411.505/Selecting a Payment System............ 33 1 10 6 * 15.43 ** 93
e) 20 CFR 411.400--411.420; 20 CFR 411.325(d) and 31 1 15 8 * 15.43 ** 123
411.415/Reporting Referral Agreement Activity..........
f) 20 CFR 411.575/Requesting EN Payments/SSA-1391 or SSA- 1,704 1 40 1,136 * 15.43 ** 17,528
1398...................................................
f) 20 CFR 411.560 and 411.581/Requesting Split Payment/ 5 1 20 2 * 15.43 ** 31
SSA-1401...............................................
g) 20 CFR 411.325(f)/Proof of Relationship.............. 6,870 1 20 2,290 * 15.43 ** 35,335
g) 20 CFR 411.325(f)/Certification of Services.......... 2,438 1 20 813 * 15.43 ** 12,545
g) 20 CFR 411.325(f)/Annual Performance Outcome Report.. 507 1 15 127 * 15.43 ** 1,960
h) 20 CFR 411.435, 411.615, and 411.625/Dispute 196 1 120 392 * 15.43 ** 6,049
Resolution.............................................
i) 20 CFR 411.320/EN Contract Changes/SSA-1374.......... 929 1 5 77 * 15.43 ** 1,188
j) 20 CFR 411.200(b)/WISE Webinar Registration Page..... 4,000 1 3 200 * 15.43 ** 3,086
j) 20 CFR 411.200(b)/WISE Webinar Survey................ 1,776 1 3 89 * 15.43 ** 1,373
-----------------------------------------------------------------------------------------------
Totals.............................................. 286,183 .............. 60,810 .............. .............. ** 938,299
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures by averaging the average hourly wages for Social and Human Service Assistants (https://www.bls.gov/oes/current/oes211093.htm);
Rehabilitation Counselors (https://www.bls.gov/oes/current/oes211015.htm); and 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.
7. Representative Payment Policies and Administrative Procedures
for Imposing Penalties for False or Misleading Statements or
Withholding of Information--0960-0740. This information collection
request comprises several regulation sections that provide additional
safeguards for Social Security beneficiaries' whose representative
payees receive their payment. SSA requires representative payees to
notify them of any event or change in circumstances that would affect
receipt of benefits or performance of payee duties. SSA uses the
information to determine continued eligibility for benefits, the amount
of benefits due and if the payee is suitable to continue servicing as
payee. The respondents are representative payees
[[Page 68039]]
who receive and use benefits on behalf of Social Security
beneficiaries.
Type of Collection: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average wait
Average time in field Total annual
Number of Frequency of Average burden Estimated theoretical office or for opportunity
Regulation sections respondents response per response total annual hourly cost teleservice cost (dollars)
(minutes) burden (hours) amount centers ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
404.2035(d)--Paper/Mail................. 30,489 1 5 2,541 * $27.07 .............. *** $68,785
404.2035(d)--Office interview/Intranet.. 579,291 1 5 48,274 * 27.07 ** 21 *** 6,795,274
404.2035(f)--Paper/Mail................. 304 1 5 25 ** 27.07 .............. *** 677
404.2035(f)--Office interview/Intranet.. 5,792 1 5 483 * 27.07 ** 21 *** 67,946
416.635(d)--Paper/Mail.................. 16,630 1 5 1,386 * 27.07 .............. *** 37,519
416.635(d)--Office interview/Intranet... 305,316 1 5 25,443 * 27.07 **21 *** 3,581,469
416.635(f)--Paper/Mail.................. 166 1 5 14 * 27.07 .............. *** 379
416.635(f)--Office interview/Intranet... 3,159 1 5 263 * 27.07 ** 21 *** 37,059
---------------------------------------------------------------------------------------------------------------
Totals.............................. 941,147 .............. .............. 78,429 .............. .............. *** 10,589,108
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on 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#00-0000).
** We based this figure by averaging 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.
8. Protecting the Public and Our Personnel To Ensure Operational
Effectiveness (RIN 0960-AH35), Regulation 3729I--20 CFR 422.905 and
422.906--0960-0796. SSA published regulations for the process we follow
when we restrict individuals from receiving in-person services in our
field offices and provide them, instead, with alternative services. We
published these rules to create a safer environment for our personnel
and members of the public who use our facilities, while ensuring we
continue to serve the American people with as little disruption to our
operations as possible. Under our regulations at 20 CFR 422.905, an
individual for whom we restrict access to our facilities has the
opportunity to appeal our decision within 60 days of the date of the
restrictive access and alternative service notice. To appeal,
restricted individuals must submit a written request stating why they
believe SSA should rescind the restriction and allow them to conduct
business with us on a face-to-face basis in one of our offices. There
is no printed form for this request; rather, restricted individuals
create their own written statement of appeal, and submit it to a sole
decision-maker in the regional office of the region where the
restriction originated. The individuals may also provide additional
documentation to support their appeal. Under 20 CFR 422.906, if the
individual does not appeal the decision within the 60 days, if we
restricted the individual prior to the effective date of this
regulation, or if the appeal results in a denial, the individual has
another opportunity to request review of the restriction after a three-
year period. To submit this request for review, restricted individuals
may re-submit a written appeal of the decision. The same criteria apply
as for the original appeal: (1) It must be in writing; (2) it must go
to a sole decision-maker in the regional office of the region where the
restriction originated for review; and (3) it may accompany supporting
documentation. We make this periodic review available to all restricted
individuals once every three years. Respondents for this collection are
individuals appealing their restrictions from in-person services at SSA
field offices.
Type of Request: Extension of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Total annual
Regulation sections Number of Frequency of per response total annual hourly cost opportunity
respondents response (minutes) burden (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
20 CFR 422.905.......................................... 75 1 15 19 * $19.01 ** $361
20 CFR 422.906.......................................... 75 1 20 25 * 19.01 ** 475
-----------------------------------------------------------------------------------------------
Totals.............................................. 150 .............. .............. 44 .............. ** $836
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure by 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.
9. Promoting Opportunity Demonstration--0960-0809. Section 823 of
the Bipartisan Budget Act of 2015 required SSA to carry out the
Promoting Opportunity Demonstration (POD) to test a new benefit offset
formula for SSDI beneficiaries. Therefore, SSA is undertaking POD, a
demonstration to evaluate the affect the new policy will have on SSDI
beneficiaries and their families in several critical areas. We
previously obtained OMB approval for this demonstration and are close
to completing the project. In this information collection request, we
are seeking to renew the approval for both the POD Monthly Earnings and
Impairment-related work Expenses (IRWE) Reporting Form, and the POD End
of Year reporting (EOYR) Documentation. The POD
[[Page 68040]]
implementation team collects earnings and IRWE data from POD treatment
group subjects whose monthly earnings exceed the POD threshold. The POD
implementation team submits the data it collects from treatment group
subjects to SSA. SSA uses the data to apply the POD offset to treatment
group subjects' SSDI benefits. Respondents have two options for
reporting their earnings and IRWE documentation contained in the POD
Monthly Form and the POD EOYR Form: Paper (mail or fax) or an online
reporting portal. Respondents are encouraged to submit their earnings
and IRWE documentation monthly but can submit it the following year in
advance of SSA's end of year reconciliation process. While the
collection of the earnings and IRWE data from respondents on the POD
Monthly Form and the POD EOYR Forms is voluntary, failure to submit
data could result in the inaccurate calculation of SSDI benefits.
Note: We have completed the survey portion of this demonstration
project and expect to finish collecting the data by the end of the
third quarter of fiscal year 2022.
Respondents are SSDI beneficiaries, who provided written consent
before agreeing to participate in the study and whom we randomly
assigned to one of the two study treatment groups.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Total annual
Modality of completion Number of Frequency of Number of per response total annual hourly cost opportunity
respondents response responses (minutes) burden (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
POD Monthly Earnings and Impairment- 1,000 6 6,000 40 4,000 * $27.07 ** $108,280
related work Expenses (IRWE) Reporting
Form--Paper Version (faxed in).........
POD Monthly Earnings and Impairment- 1,000 6 6,000 5 500 * 27.07 ** 13,535
related work Expenses (IRWE) Reporting
Form--Internet Version.................
POD End of Year reporting (EOYR) 2,000 1 2,000 8 267 * 27.07 ** 7,228
Documentation..........................
---------------------------------------------------------------------------------------------------------------
Totals.............................. 4,000 .............. 14,000 .............. 4,767 .............. ** 129,043
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on 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#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.
10. Tribal Council Coverage Agreement--0960-812. Section 218A of
the Social Security Act grants voluntary Social Security coverage to
Indian tribal council members. The coverage is voluntary for tribal
council members; however, if the tribe wishes to obtain Social Security
coverage, they must complete the agreement. Each tribe requesting
coverage fills out one agreement. SSA employees collect this
information via paper forms SSA-177 & SSA-177-OP1, Indian Tribal
Council Coverage Agreement. The respondents are Indian tribal councils
who wish to receive Social Security coverage for their members.
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-177................................................. 6 1 10 1 * $19.01 ** $19
SSA-177-OP1............................................. 6 1 10 1 * 19.01 ** 19
-----------------------------------------------------------------------------------------------
Totals.............................................. 12 .............. .............. 2 .............. ** $38
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure by averaging both the average DI payments based on SSA's current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.pdf), and the average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/ current/
oes_nat.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
[[Page 68041]]
Dated: November 23, 2021.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2021-25969 Filed 11-29-21; 8:45 am]
BILLING CODE 4191-02-P
