Agency Information Collection Activities: Proposed Request and Comment Request, 19340-19343 [2023-06682]
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19340
Federal Register / Vol. 88, No. 62 / Friday, March 31, 2023 / Notices
interacts with the SSI program and its
effects on individuals with cancer who
may apply for and already receive SSI.
We will also analyze participant
outcomes related to their SSI payments,
earnings, and mortality.
We have a cooperative agreement
with the University of Pennsylvania and
Humanity Forward Foundation to
implement and evaluate the GIFTT. For
the evaluation, we will modify the
program rules that apply to certain
project participants and provide
aggregated data that will compare
outcomes between intervention group
and control group participants with
regard to benefits, earnings, and
mortality. One Family Foundation will
fund the guaranteed income payments.
Humanity Forward Foundation will
administer the guaranteed income
payments and benefits counseling. The
University of Pennsylvania will recruit
participants and conduct the surveys
and evaluation.
Potential participants are adults with
cancer in active treatment. All
participants must have an annual
household income at or below 200
percent of the Federal Poverty Line. The
adults with cancer are individuals who
are in treatment at Jefferson Health or
Penn Abramson Comprehensive Cancer
Center 1 and who reside in one of the
following counties:
• Pennsylvania: Philadelphia (to
include City of Philadelphia),
Montgomery, Delaware, Upper Darby,
Chester, Berks, Lancaster, Bucks,
Lehigh, Northampton.
• New Jersey: Burlington, Camden,
Gloucester, Salem, Mercer, Hunterdon,
Warren.
The University of Pennsylvania
expects to recruit up to 600 individuals
to participate in the GIFTT.
Participation is voluntary and
individual participants will sign an
informed consent. The University of
Pennsylvania will randomly assign
participants to a control group or an
intervention group. The control group
consists of participants who will not
receive guaranteed income payments;
they will receive the typical supports
available to patients with cancer at their
hospital, including a referral to a social
worker or navigator. The intervention
group consists of participants who will
receive guaranteed income payments of
$1,000 per month for 12 months, along
with benefits counseling.
1 Other adults with cancer who reside in the
listed counties but who receive treatment from
other cancer centers are also eligible for the GIFTT
if they meet the other eligibility criteria (are in
active treatment and have household income at or
below 200 percent of the Federal Poverty Line).
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Under title XVI of the Act, we make
SSI payments to persons who are aged,
blind, or disabled, and who also have
limited income and resources. We
expect some participants in the GIFTT
will apply for or already receive SSI
payments. We will apply the alternate
rules, as described below, to those
participants in the intervention group
who consent to sharing their data with
us in the informed consent. All
participants can withdraw from the
project at any time. We will apply all
usual program rules to all applicable
participants three years after the receipt
of their final guaranteed income
payment.
Provisions of the Act and Regulations
We Are Waiving To Provide Alternate
Rules Under the GIFTT
The following alternate program rules
will apply to those who apply for and
those who already receive SSI that are
assigned to the intervention group
during participation in the GIFTT and
consent to share data with SSA:
• Exclusion of the guaranteed income
payments as income when determining
eligibility and payments;
• Exclusion of guaranteed income as
resources during the 12-month payment
period plus a period of up to three years
after receipt of the final guaranteed
income payment; and
• Protection of the household from
offsetting SSI payments and resource
limits because of guaranteed income
payments. When deeming rules apply,
guaranteed income payments will be
excluded from income and resources.
The limitation on resources will be
removed with respect to guaranteed
income payments.
Applying these alternate rules
involves waiving or altering certain
provisions included in sections
1611(a)(1)(B), (a)(2)(B), (a)(3)(A),
1612(a)(2), 1614(f)(1), (f)(2)(A) of the Act
and 20 CFR 416.1102, 416.1123,
416.1160, 416.1163, 416.1165, 416.1201,
416.1202, 416.1205, 416.1207.
Authority for the Waivers Under GIFTT
Section 1110(b) of the Act authorizes
us to waive any requirements,
conditions, or limitations of title XVI
necessary to carry out demonstration
projects. Consistent with the
requirements in section 1110(b)(2)(B) of
the Act, participation in the GIFTT is
voluntary and based on informed
consent, and the voluntary agreement to
participate may be withdrawn by the
participant at any time.
The Acting Commissioner of the
Social Security Administration, Kilolo
Kijakazi, Ph.D., M.S.W., having
reviewed and approved this document,
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is delegating the authority to
electronically sign this document to
Faye I. Lipsky, who is the primary
Federal Register Liaison for the Social
Security Administration, for purposes of
publication in the Federal Register.
Faye I. Lipsky,
Federal Register Liaison, Office of Legislation
and Congressional Affairs, Social Security
Administration.
[FR Doc. 2023–06706 Filed 3–30–23; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2023–0006]
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 two new
collection and a revision of OMBapproved information collections.
SSA is soliciting comments on the
accuracy of the agency’s burden
estimate; the need for the information;
its practical utility; ways to enhance its
quality, utility, and clarity; and ways to
minimize burden on respondents,
including the use of automated
collection techniques or other forms of
information technology. Mail, email, or
fax your comments and
recommendations on the information
collection(s) to the OMB Desk Officer
and SSA Reports Clearance Officer at
the following addresses or fax numbers.
(OMB) Office of Management and
Budget, Attn: Desk Officer for SSA,
Comments: https://www.reginfo.gov/
public/do/PRAMain. Submit your
comments online referencing Docket ID
Number [SSA–2023–0006].
(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–2023–0023].
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 May 30, 2023. Individuals can
obtain copies of the collection
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instrument by writing to the above
email address.
State of Georgia’s Criminal Justice
Coordinating Council’s (CJCC)
Evaluation of the Implementation of the
Supplemental Security Income (SSI)/
Social Security Disability Insurance
(SSDI) Outreach, Access, and Recovery
(SOAR) Model in County Jails—0960–
NEW.
Background
SSA is requesting clearance to collect
data necessary to evaluate an
intervention under the Interventional
Cooperative Agreement Program (ICAP)
with the State of Georgia’s Criminal
Justice Coordinating Council (CJCC).
ICAP allows SSA to partner with
various non-federal groups and
organizations to advance interventional
research connected to the Supplemental
Security Income (SSI) and Social
Security Disability Insurance (SSDI)
programs. SSA awarded CJCC a
cooperative agreement to conduct an
intervention and evaluation of the
Supplemental Security Income (SSI)/
Social Security Disability Insurance
(SSDI) Outreach, Access, and Recovery
(SOAR) model in county jails with
inmates with serious and persistent
mental illness (SPMI) across the state. In
addition to SSA, CJCC has partnered
with the following: (1) Applied
Research Services (ARS); (2) the Georgia
Department of Behavioral Health and
Developmental Disabilities (DBHDD);
and (3) four county jails to implement
the program.
ICAP CJCC Project Description
Investigators hypothesize that
untreated mental illness and repeated
psychiatric crises may be a factor in jail
recidivism. Connection to SSI/SSDI and
attendant insurance benefits may help a
person with SPMI obtain treatment and
interrupt criminogenic behavior. The
intervention will connect respondents
in four county jails identified as having
SPMI to Medicaid Eligibility Specialists
(MES) hired and trained by the Georgia
DBHDD, who will help them apply for
SSI and SSDI. Respondents in two of the
four counties (Fulton County Jail and
Cobb County Jail) will also have the
option of working with a Forensic Peer
Mentor (FPM), a formerly incarcerated
individual who is familiar with
resources that may help participants
increase their quality-of-life post
incarceration and avoid recidivism. SSA
anticipates the two DBHDD MESs will
each serve 45 participants per year, for
a total of 90 participants per year.
Number of
respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency
of response
To maximize the likelihood of the
SSI/SSDI application approval, the MES
will employ the SOAR method, which
uses in-depth medical and personal
summaries of disability to facilitate the
SSI/SSDI application process.
Researchers will collect data from
participant surveys to evaluate and
study the impact of the intervention.
Through the data collected through
these surveys, along with administrative
data from SSA, the State of Georgia,
participating counties, and DBHDD,
SSA hopes to address the following
research questions:
• Does connection to a SOAR-trained
specialist increase the likelihood that a
person with SPMI in jail will be
approved for SSI/SSDI benefits?
• If a person with SPMI receives SSI/
SSDI benefits, are they able to connect
to treatment resources that they may not
have been able to obtain before?
• If a person with SPMI connects to
treatment resources and successfully
engages with them, are they able to
achieve mental health recovery and stay
out of jail?
The respondents are individuals with
serious and persistent mental illness
incarcerated in county jails in the state
of Georgia.
Average
theoretical
hourly cost
amount
(dollars) *
Estimated
total annual
burden
(hours)
Total annual
opportunity
cost
(dollars) **
Initial Enrollment Survey (Paper) .............
Informed Consent (Paper) .......................
Follow-up Survey (Internet) .....................
90
90
90
1
1
2
19
10
23
29
15
69
* $12.81
* 12.81
* 12.81
** $371
** 192
** 884
Totals ................................................
270
........................
........................
113
........................
** 1,447
ddrumheller on DSK120RN23PROD with NOTICES1
* We based this figure on the average DI payments based on SSA’s current FY 2023 data (https://www.ssa.gov/legislation/2023factsheet.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.
II. SSA submitted the information
collections below to OMB for clearance.
Your comments regarding these
information collections would be most
useful if OMB and SSA receive them 30
days from the date of this publication.
To be sure we consider your comments,
we must receive them no later than May
1, 2023. Individuals can obtain copies of
these OMB clearance packages by
writing to OR.Reports.Clearance@
ssa.gov.
1. Vocational Resource Facilitator
Demonstration—0960–NEW. SSA is
undertaking the Vocational Resource
Facilitator Demonstration (VRFD) under
the ICAP. ICAP allows SSA to partner
with various non-federal groups and
organizations to advance interventional
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research connected to the SSI and SSDI
programs. VRFD will test the Vocational
Resource Facilitator (VRF) intervention,
which helps newly injured spinal cord
injury or disease (SCI), or brain injury
(BI) patients pursue their employment
goals. The VRFD will provide empirical
evidence on the impact of the
intervention on patients in several
critical areas: (1) employment and
earnings; (2) SSI and SSDI benefit
receipt; and (3) satisfaction and wellbeing. A rigorous evaluation of VRFD is
critical to help SSA and other interested
parties assess promising options to
improve employment-related outcomes
and decrease benefit receipt. The VRFD
evaluation uses a randomized control
experimental design that includes one
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treatment group and one control group.
Control group members will receive a
referral for services to the Division of
Vocational Rehabilitation Services
(DVRS), New Jersey’s state Vocational
Rehabilitation agency. The treatment
group will receive a referral to DVRS
and employment services from a
resource facilitator (RF). RFs are fully
integrated members of clinical teams
who engage with injured workers during
inpatient rehabilitation about return to
work. The central research questions
include:
• Was the intervention implemented
as planned?
• What are key considerations for
scaling up or adopting the VRF model
at other facilities?
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Federal Register / Vol. 88, No. 62 / Friday, March 31, 2023 / Notices
• What were the impacts of VRF on
outcomes of interest?
• Did treatment group members earn
or work more than control group
members?
• Were treatment group members
relatively less likely to apply to or
receive SSI or SSDI benefits?
• Did treatment group members
experience greater satisfaction and wellbeing than control group members?
Modality of completion
Number of
respondents
• What were the benefits and costs of
the demonstration across key groups?
The proposed public survey data
collections will support three
components of the planned
implementation, impact, and benefitcost analyses. The data collection efforts
will provide information that is not
available in SSA program records about
the characteristics and outcomes of
Average
burden per
response
(minutes)
Frequency
of response
VRFD participants in the treatment and
control groups. Respondents are newly
injured SCI and BI patients, who will
provide written consent before agreeing
to participate in the study and be
randomly assigned to one of the study
groups.
Type of Request: Request for a new
information collection.
Average
theoretical
hourly cost
amount
(dollars) *
Estimated
total annual
burden
(hours)
Average wait
time for
teleservice
centers
(minutes) **
Total annual
opportunity
cost
(dollars) ***
Informed Consent Form
Baseline Survey ...........
12-month Follow-up
Survey ......................
Staff Interviews with
Site Staff ...................
Onsite Audit of sample
of case files ..............
500
500
1
1
10
15
83
125
* $28.01
* 28.01
........................
........................
*** $2,325
*** 3,501
400
1
20
133
* 28.01
** 19
*** 7,283
10
2
66
22
* 28.01
........................
*** 616
1
2
30
1
* 28.01
........................
*** 28
Totals ....................
1,411
........................
........................
364
........................
........................
*** 13,753
* 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).
** We based this figure by averaging the average FY 2023 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.
ddrumheller on DSK120RN23PROD with NOTICES1
2. Application for a Social Security
Number Card, the Social Security
Number Application Process (SSNAP),
and internet SSN Replacement Card
(iSSNRC) Application—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,
and a name change due to marriage,
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 a name change. oSSNAP allows
applicants, both U.S. citizens and noncitizens, for new or replacement SSN
Number of
respondents
Application scenario
Frequency
of response
Average
burden per
response
(minutes)
Estimated
total annual
burden
(hours)
cards to start the application process online, 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. We are planning to make minor
changes to clarify that one screen is
optional, and to provide a space for
respondents to inform SSA of the types
of documents they will present during
the in-person follow up meeting. 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) *
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 ........................
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1
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5
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313,293
* $24.49
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31MRN1
*** $7,672,546
Federal Register / Vol. 88, No. 62 / Friday, March 31, 2023 / Notices
Number of
respondents
Application scenario
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) **
19343
Total annual
opportunity
cost
(dollars) ***
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 ...................................................
3,002,698
1
5
250,225
* 28.01
** 0
*** 7,008,802
1,312
1
5
109
* 28.01
** 0
*** 3,053
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 + .............................
822,104
1
5
68,509
* 28.01
** 24
*** 11,129,802
37,323
1
5
3,110
* 28.01
* 24
*** 505,272
204,081
1
5
17,007
* 28.01
** 24
*** 2,762,878
84,635
1
5
7,053
* 28.01
** 24
*** 1,145,805
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 ........................................
Applicants asking for a replacement SSN
card beyond the allowable limits (i.e.,
who must provide additional documentation to accompany the application) .........
6,973,505
1
9
1,046,026
* 28.01
** 24
*** 107,430,338
207,521
1
9
31,128
* 28.01
** 24
*** 3,196,949
1,113,144
1
10
185,524
* 28.01
** 24
*** 17,668,204
1
60
6,703
* 28.01
** 24
*** 262,846
6,703
Enumeration Quality Review
Authorization to SSA to obtain personal information cover letter ...............................
Authorization to SSA to obtain personal information follow-up cover letter ...............
500
1
15
125
* 28.01
** 24
*** 9,103
500
1
15
125
* 28.01
** 24
*** 9,103
1,928,937
....................
....................
*** 159,309,973
Grand Total
Totals ...................................................
16,213,543
....................
....................
+ 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) as reported by the U.S. Bureau of Labor Statistics.
** We based this figure on the average FY 2023 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: March 28, 2023.
Naomi Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2023–06682 Filed 3–30–23; 8:45 am]
ddrumheller on DSK120RN23PROD with NOTICES1
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice: 12031]
U.S. Advisory Commission on Public
Diplomacy; Notice of Charter Renewal
for the U.S. Advisory Commission on
Public Diplomacy
The Department of State has renewed
the Charter for the U.S. Advisory
Commission on Public Diplomacy
(ACPD).
The Commission was originally
established under section 604 of the
United States Information and
Educational Exchange Act of 1948, as
amended (22 U.S.C. 1469), and under
VerDate Sep<11>2014
17:54 Mar 30, 2023
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section 8 of Reorganization Plan
Number 2 of 1977. It was permanently
reauthorized pursuant to section 5604 of
the National Defense Authorization Act,
Fiscal Year 2022 (Pub. L. 117–81),
which amended section 1134 of the
Foreign Affairs Reform and
Restructuring Act of 1998 (22 U.S.C.
6553).
For more than 70 years, the ACPD has
appraised U.S. Government activities
intended to understand, inform, and
influence foreign publics and has aimed
to increase the understanding of and
support for these activities. The
Commission conducts research and
symposia that provide honest
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]]>Agencies
[Federal Register Volume 88, Number 62 (Friday, March 31, 2023)]
[Notices]
[Pages 19340-19343]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-06682]
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2023-0006]
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 two new collection and a revision 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-2023-0006].
(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-
2023-0023].
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 May
30, 2023. Individuals can obtain copies of the collection
[[Page 19341]]
instrument by writing to the above email address.
State of Georgia's Criminal Justice Coordinating Council's (CJCC)
Evaluation of the Implementation of the Supplemental Security Income
(SSI)/Social Security Disability Insurance (SSDI) Outreach, Access, and
Recovery (SOAR) Model in County Jails--0960-NEW.
Background
SSA is requesting clearance to collect data necessary to evaluate
an intervention under the Interventional Cooperative Agreement Program
(ICAP) with the State of Georgia's Criminal Justice Coordinating
Council (CJCC). ICAP allows SSA to partner with various non-federal
groups and organizations to advance interventional research connected
to the Supplemental Security Income (SSI) and Social Security
Disability Insurance (SSDI) programs. SSA awarded CJCC a cooperative
agreement to conduct an intervention and evaluation of the Supplemental
Security Income (SSI)/Social Security Disability Insurance (SSDI)
Outreach, Access, and Recovery (SOAR) model in county jails with
inmates with serious and persistent mental illness (SPMI) across the
state. In addition to SSA, CJCC has partnered with the following: (1)
Applied Research Services (ARS); (2) the Georgia Department of
Behavioral Health and Developmental Disabilities (DBHDD); and (3) four
county jails to implement the program.
ICAP CJCC Project Description
Investigators hypothesize that untreated mental illness and
repeated psychiatric crises may be a factor in jail recidivism.
Connection to SSI/SSDI and attendant insurance benefits may help a
person with SPMI obtain treatment and interrupt criminogenic behavior.
The intervention will connect respondents in four county jails
identified as having SPMI to Medicaid Eligibility Specialists (MES)
hired and trained by the Georgia DBHDD, who will help them apply for
SSI and SSDI. Respondents in two of the four counties (Fulton County
Jail and Cobb County Jail) will also have the option of working with a
Forensic Peer Mentor (FPM), a formerly incarcerated individual who is
familiar with resources that may help participants increase their
quality-of-life post incarceration and avoid recidivism. SSA
anticipates the two DBHDD MESs will each serve 45 participants per
year, for a total of 90 participants per year.
To maximize the likelihood of the SSI/SSDI application approval,
the MES will employ the SOAR method, which uses in-depth medical and
personal summaries of disability to facilitate the SSI/SSDI application
process. Researchers will collect data from participant surveys to
evaluate and study the impact of the intervention. Through the data
collected through these surveys, along with administrative data from
SSA, the State of Georgia, participating counties, and DBHDD, SSA hopes
to address the following research questions:
Does connection to a SOAR-trained specialist increase the
likelihood that a person with SPMI in jail will be approved for SSI/
SSDI benefits?
If a person with SPMI receives SSI/SSDI benefits, are they
able to connect to treatment resources that they may not have been able
to obtain before?
If a person with SPMI connects to treatment resources and
successfully engages with them, are they able to achieve mental health
recovery and stay out of jail?
The respondents are individuals with serious and persistent mental
illness incarcerated in county jails in the state of Georgia.
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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) * **
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Initial Enrollment Survey (Paper)....................... 90 1 19 29 * $12.81 ** $371
Informed Consent (Paper)................................ 90 1 10 15 * 12.81 ** 192
Follow-up Survey (Internet)............................. 90 2 23 69 * 12.81 ** 884
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Totals.............................................. 270 .............. .............. 113 .............. ** 1,447
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* We based this figure on the average DI payments based on SSA's current FY 2023 data (https://www.ssa.gov/legislation/2023factsheet.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.
II. SSA submitted the information collections below to OMB for
clearance. Your comments regarding these information collections would
be most useful if OMB and SSA receive them 30 days from the date of
this publication. To be sure we consider your comments, we must receive
them no later than May 1, 2023. Individuals can obtain copies of these
OMB clearance packages by writing to [email protected].
1. Vocational Resource Facilitator Demonstration--0960-NEW. SSA is
undertaking the Vocational Resource Facilitator Demonstration (VRFD)
under the ICAP. ICAP allows SSA to partner with various non-federal
groups and organizations to advance interventional research connected
to the SSI and SSDI programs. VRFD will test the Vocational Resource
Facilitator (VRF) intervention, which helps newly injured spinal cord
injury or disease (SCI), or brain injury (BI) patients pursue their
employment goals. The VRFD will provide empirical evidence on the
impact of the intervention on patients in several critical areas: (1)
employment and earnings; (2) SSI and SSDI benefit receipt; and (3)
satisfaction and well-being. A rigorous evaluation of VRFD is critical
to help SSA and other interested parties assess promising options to
improve employment-related outcomes and decrease benefit receipt. The
VRFD evaluation uses a randomized control experimental design that
includes one treatment group and one control group. Control group
members will receive a referral for services to the Division of
Vocational Rehabilitation Services (DVRS), New Jersey's state
Vocational Rehabilitation agency. The treatment group will receive a
referral to DVRS and employment services from a resource facilitator
(RF). RFs are fully integrated members of clinical teams who engage
with injured workers during inpatient rehabilitation about return to
work. The central research questions include:
Was the intervention implemented as planned?
What are key considerations for scaling up or adopting the
VRF model at other facilities?
[[Page 19342]]
What were the impacts of VRF on outcomes of interest?
Did treatment group members earn or work more than control
group members?
Were treatment group members relatively less likely to
apply to or receive SSI or SSDI benefits?
Did treatment group members experience greater
satisfaction and well-being than control group members?
What were the benefits and costs of the demonstration
across key groups?
The proposed public survey data collections will support three
components of the planned implementation, impact, and benefit-cost
analyses. The data collection efforts will provide information that is
not available in SSA program records about the characteristics and
outcomes of VRFD participants in the treatment and control groups.
Respondents are newly injured SCI and BI patients, who will provide
written consent before agreeing to participate in the study and be
randomly assigned to one of the study groups.
Type of Request: Request for a new information collection.
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Average Average wait
Average burden Estimated theoretical time for Total annual
Modality of completion Number of Frequency of per response total annual hourly cost teleservice opportunity
respondents response (minutes) burden (hours) amount centers cost (dollars)
(dollars) * (minutes) ** ***
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Informed Consent Form................... 500 1 10 83 * $28.01 .............. *** $2,325
Baseline Survey......................... 500 1 15 125 * 28.01 .............. *** 3,501
12-month Follow-up Survey............... 400 1 20 133 * 28.01 ** 19 *** 7,283
Staff Interviews with Site Staff........ 10 2 66 22 * 28.01 .............. *** 616
Onsite Audit of sample of case files.... 1 2 30 1 * 28.01 .............. *** 28
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Totals.............................. 1,411 .............. .............. 364 .............. .............. *** 13,753
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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).
** We based this figure by averaging the average FY 2023 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.
2. Application for a Social Security Number Card, the Social
Security Number Application Process (SSNAP), and internet SSN
Replacement Card (iSSNRC) Application--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, and a name change due to marriage,
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 a name change. oSSNAP allows
applicants, both U.S. citizens and non-citizens, 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. We are planning to make
minor changes to clarify that one screen is optional, and to provide a
space for respondents to inform SSA of the types of documents they will
present during the in-person follow up meeting. 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.
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Average
Average Estimated Average wait time
Number of Frequency burden per total theoretical in field Total annual opportunity
Application scenario respondents of response response annual hourly cost office cost (dollars) ***
(minutes) burden amount (minutes)
(hours) (dollars) * **
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EAB Modality
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Hospital staff who relay the State birth 3,759,517 1 5 313,293 * $24.49 ** 0 *** $7,672,546
certificate information to the BVS and SSA
through the EAB process....................
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[[Page 19343]]
iSSNRC Modality
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Adult U.S. Citizens requesting a replacement 3,002,698 1 5 250,225 * 28.01 ** 0 *** 7,008,802
card with no changes through the iSSNRC....
Adult U.S. Citizens requesting a replacement 1,312 1 5 109 * 28.01 ** 0 *** 3,053
card with a name change through iSSNRC.....
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oSSNAP Modality
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Adult U.S. Citizens providing information to 822,104 1 5 68,509 * 28.01 ** 24 *** 11,129,802
receive a replacement card through the
oSSNAP \+\.................................
Adult U.S. Citizens providing information to 37,323 1 5 3,110 * 28.01 * 24 *** 505,272
receive an original card through the oSSNAP
\+\........................................
Adult Non-U.S. Citizens providing 204,081 1 5 17,007 * 28.01 ** 24 *** 2,762,878
information to receive an original card
through the oSSNAP \+\.....................
Adult Non-U.S. Citizens providing 84,635 1 5 7,053 * 28.01 ** 24 *** 1,145,805
information to receive a replacement card
through the oSSNAP \+\.....................
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SSNAP/SS-5 Modality
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Respondents who do not have to provide 6,973,505 1 9 1,046,026 * 28.01 ** 24 *** 107,430,338
parents' SSNs..............................
Respondents whom we ask to provide parents' 207,521 1 9 31,128 * 28.01 ** 24 *** 3,196,949
SSNs (when applying for original SSN cards
for children under age 12).................
Applicants age 12 or older who need to 1,113,144 1 10 185,524 * 28.01 ** 24 *** 17,668,204
answer additional questions so SSA can
determine whether we previously assigned an
SSN........................................
Applicants asking for a replacement SSN card 6,703 1 60 6,703 * 28.01 ** 24 *** 262,846
beyond the allowable limits (i.e., who must
provide additional documentation to
accompany the application).................
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Enumeration Quality Review
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Authorization to SSA to obtain personal 500 1 15 125 * 28.01 ** 24 *** 9,103
information cover letter...................
Authorization to SSA to obtain personal 500 1 15 125 * 28.01 ** 24 *** 9,103
information follow-up cover letter.........
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Grand Total
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Totals.................................. 16,213,543 ........... ........... 1,928,937 ........... ........... *** 159,309,973
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\+\ 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) as reported by the U.S. Bureau of Labor Statistics.
** We based this figure on the average FY 2023 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: March 28, 2023.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2023-06682 Filed 3-30-23; 8:45 am]
BILLING CODE 4191-02-P
