Agency Information Collection Activities: Proposed Request and Comment Request, 90223-90225 [2023-28774]
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Federal Register / Vol. 88, No. 249 / Friday, December 29, 2023 / Notices
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, Fax:
202–395–6974.
(SSA), Social Security
Administration, OLCA, Attn: Reports
Clearance Director, Mail Stop 3253
Percent
Altmeyer, 6401 Security Blvd.,
For Physical Damage:
Baltimore, MD 21235, Fax: 833–410–
Non-Profit Organizations with
1631, Email address:
Credit Available Elsewhere ...
2.375 OR.Reports.Clearance@ssa.gov.
Non-Profit Organizations withOr you may submit your comments
out Credit Available Elsewhere .....................................
2.375 online through https://www.reginfo.gov/
public/do/PRAmain by clicking on
For Economic Injury:
Currently under Review—Open for
Non-Profit Organizations
Public Comments and choosing to click
without Credit Available
Elsewhere ..........................
2.375 on one of SSA’s published items. Please
reference Docket ID Number [SSA–
2023–0050] in your submitted response.
The number assigned to this disaster
I. The information collection below is
for physical damage is 201446 and for
pending at SSA. SSA will submit it to
economic injury is 201450.
OMB within 60 days from the date of
(Catalog of Federal Domestic Assistance
this notice. To be sure we consider your
Number 59008)
comments, we must receive them no
Francisco Sa´nchez, Jr.,
later than February 27, 2024.
Individuals can obtain copies of the
Associate Administrator, Office of Disaster
Recovery & Resilience.
collection instruments by writing to the
above email address.
[FR Doc. 2023–28787 Filed 12–28–23; 8:45 am]
Employee Work Activity
BILLING CODE 8026–09–P
Questionnaire—20 CFR 404.1574(a)(1)–
(3)—0960–0483. Social Security
Disability Insurance (SSDI) beneficiaries
SOCIAL SECURITY ADMINISTRATION
and Supplemental Security Income
[Docket No: SSA–2023–0050]
(SSI) recipients qualify for payments
when a verified physical or mental
Agency Information Collection
impairment prevents them from
Activities: Proposed Request and
working. If disability claimants attempt
Comment Request
to return to work after receiving
payments, but are unable to continue
The Social Security Administration
working, they submit Form SSA–3033,
(SSA) publishes a list of information
Employee Work Activity Questionnaire,
collection packages requiring clearance
so SSA can evaluate their work attempt.
by the Office of Management and
SSA also uses this form to evaluate
Budget (OMB) in compliance with
unsuccessful subsidy work and
Public Law 104–13, the Paperwork
Reduction Act of 1995, effective October determine applicants’ continuing
eligibility for disability payments. The
1, 1995. This notice includes revisions
respondents are employers of SSDI
of OMB-approved information
beneficiaries and SSI recipients who
collections, and one extension
unsuccessfully attempted to return to
collection for OMB-approval.
SSA is soliciting comments on the
work.
accuracy of the agency’s burden
Type of Request: Extension of an
estimate; the need for the information;
OMB-approved information collection.
file disaster loan applications online
using the MySBA Loan Portal https://
Business and Small Agricultural
lending.sba.gov or other locally
Cooperatives without Credit
announced locations. Please contact the
Available Elsewhere ..............
4.000 SBA disaster assistance customer
Non-Profit Organizations withservice center by email at
out Credit Available Elsedisastercustomerservice@sba.gov or by
where .....................................
2.375
phone at 1–800–659–2955 for further
assistance.
The number assigned to this disaster
The following areas have been
for physical damage is 201286 and for
determined to be adversely affected by
economic injury is 201290.
the disaster:
The State which received an EIDL
Primary Counties:
Declaration is Kansas.
Iron, Morgan, Sanpete, Utah, Wasatch.
(Catalog of Federal Domestic Assistance
The Interest Rates are:
Number 59008)
Percent
Isabella Guzman,
Administrator.
[FR Doc. 2023–28764 Filed 12–28–23; 8:45 am]
BILLING CODE 8026–09–P
SMALL BUSINESS ADMINISTRATION
[Disaster Declaration # 20144 and # 20145;
UTAH Disaster Number UT–20001]
Presidential Declaration of a Major
Disaster for Public Assistance Only for
the State of Utah
U.S. Small Business
Administration.
ACTION: Notice.
AGENCY:
This is a Notice of the
Presidential declaration of a major
disaster for Public Assistance Only for
the State of Utah (FEMA–4752–DR),
dated 12/23/2023.
Incident: Flooding.
Incident Period: 05/01/2023 through
05/27/2023.
DATES: Issued on 12/23/2023.
Physical Loan Application Deadline
Date: 02/21/2024.
Economic Injury (EIDL) Loan
Application Deadline Date: 09/23/2024.
ADDRESSES: Visit the MySBA Loan
Portal at https://lending.sba.gov to
apply for a disaster assistance loan
FOR FURTHER INFORMATION CONTACT:
Alan Escobar, Office of Disaster
Recovery & Resilience, U.S. Small
Business Administration, 409 3rd Street
SW, Suite 6050, Washington, DC 20416,
(202) 205–6734.
SUPPLEMENTARY INFORMATION: Notice is
hereby given that as a result of the
President’s major disaster declaration on
12/23/2023, Private Non-Profit
organizations that provide essential
services of a governmental nature may
ddrumheller on DSK120RN23PROD with NOTICES1
SUMMARY:
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17:38 Dec 28, 2023
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90223
PO 00000
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Sfmt 4703
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Federal Register / Vol. 88, No. 249 / Friday, December 29, 2023 / Notices
Modality of completion
Number of
respondents
Average
burden per
response
(minutes)
Frequency of
response
Estimated
total annual
burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Average wait
time for
teleservice
centers
(minutes) **
Total annual
opportunity
cost
(dollars) ***
SSA–3033 Phone ........
SSA–3033 Returned
via mail .....................
5,000
1
15
1,250
$59.07
19
*** $167,345
10,000
1
15
2,500
59.07
........................
*** 147,675
Totals ....................
15,000
........................
........................
3,750
........................
........................
315,020
* We based this figure on average general and operations manager’s hourly salary, as reported by Bureau of Labor Statistics data (https://
www.bls.gov/oes/current/oes111021.htm).
** 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.
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
January 29, 2024. Individuals can obtain
copies of these OMB clearance packages
by writing to the
OR.Reports.Clearance@ssa.gov.
1. Medicaid Use Report—20 CFR
416.268—0960–0267. Section 1619(b) of
the Social Security Act (Act) and 20
CFR 416.268 of the Code of Federal
Regulations (Code) require SSA to
determine eligibility for: (1) special SSI
payments, and (2) special SSI eligibility
status for a person who works despite a
disabling condition. Section 20 CFR
416.268 of the Code also provides that
Modality of completion
Number of
respondents
20 CFR 416.268 SSI
Claims System .........
to qualify for special SSI eligibility
status, an individual must establish that
termination of eligibility for benefits
under title XIX of the Act would
seriously inhibit their ability to
continue employment. SSA uses the
collected information to determine if an
individual is entitled to special title XVI
SSI payments and, consequently, to
Medicaid or Medi-Cal.
In most cases, if an SSI beneficiary is
blind or disabled, regardless of age, and
they have Medicaid before beginning to
work again, they can retain their
Medicaid benefits while continuing to
work as long as their disabling
condition still exists. During a personal
or telephone Redetermination interview
with the SSI recipient, an SSA
employee asks the following questions:
• Have you used any medical care or
services in the past 12 months that were
paid for by Medicaid (or Medi-Cal, etc.)?
Frequency of
response
99,000
Average
burden per
response
(minutes)
1
Estimated
total annual
burden
(hours)
3
4,950
• Do you expect to receive any
medical care or services in the next 12
months that will be paid for by
Medicaid (or Medi-Cal, etc.)?
• Without Medicaid (Medi-Cal, etc.),
would you be unable to pay your
medical bills if you become ill or
injured in the next 12 months?
Generally, a response of ‘‘yes’’ to one
of those three questions will lead to SSA
determining that an SSI recipient whose
payments have stopped based on
earnings, is entitled to special SSI
payments and, consequently, to
Medicaid benefits under section 1619
(b) of the Act. The respondents are SSI
recipients for whom SSA has stopped
payments based on earnings.
Type of Request: Extension of an
OMB-approved information collection.
Average
theoretical
hourly cost
amount
(dollars) *
* $12.81
Average
wait time
in field
offices and
teleservice
centers
(minutes) **
** 21
Total
annual
opportunity
cost
(dollars) ***
*** $507,276
ddrumheller on DSK120RN23PROD with NOTICES1
* We based this figure on average SSI payments based on SSA’s current FY 2023 data (https://www.ssa.gov/legislation/2023factsheet.pdf).
** 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.
2. Appeal of Determination for Extra
Help with Medicare Prescription Drug
Costs—0960–0695. Public Law 108–173,
also known as the Medicare Prescription
Drug, Improvement and Modernization
Act of 2003 (MMA), amended title XVIII
of the Act to establish a subsidy
program to help certain individuals
with limited income and resources pay
for Medicare Part D prescription drug
coverage. SSA also commonly refers to
this subsidy program as Extra Help.
VerDate Sep<11>2014
17:38 Dec 28, 2023
Jkt 262001
Individuals seeking Extra Help may
apply via the SSA–1020 paper form or
i1020 online application (OMB No.
0960–0696). If SSA determines that the
claimant is not eligible for Extra Help,
SSA will mail a notice to the claimant
indicating that SSA denied the claim.
Extra Help denial notices include
appeal rights and explain how to
request an appeal. Individuals learn
about the appeal process for Extra Help
via determination notices, 800#
representatives, as well as SSA and
PO 00000
Frm 00061
Fmt 4703
Sfmt 4703
CMS websites. Individuals voluntarily
initiate the Extra Help appeal process by
printing the form from SSA’s online
website and sending the completed form
to SSA, contacting SSA’s 800 Number to
request an appeal, or going into the field
office to request the appeal. If the
individual chooses to call the 800# or go
into the field office, an SSA technician
enters the individual’s request into the
MAPS system. The system then
electronically sends the request to the
Subsidy Determination Unit, who
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Federal Register / Vol. 88, No. 249 / Friday, December 29, 2023 / Notices
schedules an appointment for the
appeal and sends an appointment notice
to the individual.
Individuals who appeal SSA’s
decision regarding eligibility or
continuing eligibility for Medicare Part
D Extra Help must complete Form SSA–
1021. The respondent may mail the
completed form to either the local field
Modality of completion
Number of
respondents
office or to the Wilkes-Barre Direct
Operations Center. The respondent may
also complete the form with assistance
from an SSA technician via an in-person
interview at the Field Office or over the
telephone. SSA technicians enter all
claims into Medicare Application
Processing System (MAPS), which
automatically adjudicates claims based
Average
burden per
response
(minutes)
Frequency of
response
Estimated
total annual
burden
(hours)
on the data the technicians input.
Respondents are Medicare beneficiaries,
or proper applicants acting on behalf of
a Medicare beneficiary, who do not
agree with the outcome of an SSA Extra
Help eligibility determination and want
to file an appeal.
Type of Request: Revision of an OMBapproved information collection.
Average
theoretical
hourly cost
amount
(dollars) *
Average wait
time in
field office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
SSA–1021—(Paper
version) .....................
SSA–1021—(Internet
version: MAPS) ........
1,859
1
10
310
* $29.76
........................
*** $9,226
5,291
1
10
882
* $29.76
** 24
*** $89,220
Totals ....................
7,150
........................
........................
1,192
........................
........................
*** $98,446
* We based this figure on average U.S. worker’s hourly wages; State and local government worker’s salaries; and attorney representative
payee wages as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_stru.htm).
** 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: December 26, 2023.
Naomi Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2023–28774 Filed 12–28–23; 8:45 am]
BILLING CODE 4191–02–P
OFFICE OF THE UNITED STATES
TRADE REPRESENTATIVE
Extension of Exclusions and Request
for Comments: China’s Acts, Policies
and Practices Related to Technology
Transfer, Intellectual Property and
Innovation
Office of the United States
Trade Representative (USTR).
ACTION: Notice and request for
comments.
AGENCY:
In prior notices, the U.S.
Trade Representative modified the
actions in the Section 301 investigation
of China’s acts, policies and practices
related to technology transfer,
intellectual property and innovation by
excluding from additional duties certain
products of China. In September 2023,
the U.S. Trade Representative
determined to extend 352 previously
reinstated exclusions and 77 COVIDrelated exclusions through December
31, 2023. This notice announces the
U.S. Trade Representative’s
determination to extend for five months,
through May 31, 2024, these same
exclusions. This notice also announces
that USTR is opening of a docket for
ddrumheller on DSK120RN23PROD with NOTICES1
SUMMARY:
VerDate Sep<11>2014
17:38 Dec 28, 2023
Jkt 262001
public comments on whether to further
extend particular exclusions.
DATES: The extension announced in this
notice will extend the reinstated and
COVID-related product exclusions
through May 31, 2024.
January 22, 2024: The public docket
on the web portal at https://
comments.USTR.gov will open for
interested persons to submit comments.
February 21, 2024 at 11:59 p.m. ET:
To be assured of consideration, submit
written comments on the public docket
by this time.
ADDRESSES: You must submit all
comments through the online portal:
https://comments.ustr.gov/.
FOR FURTHER INFORMATION CONTACT: For
general questions about this notice,
contact Senior Associate General
Counsel Philip Butler or Assistant
General Counsel Edward Marcus at
(202) 395–5725. For specific questions
on customs classification or
implementation of the product
exclusions, contact traderemedy@
cbp.dhs.gov.
SUPPLEMENTARY INFORMATION:
In the course of this investigation, the
U.S. Trade Representative has imposed
additional duties on products of China
in four tranches. See 83 FR 28719 (June
20, 2018); 83 FR 40823 (August 16,
2018); 83 FR 47974 (September 21,
2018), as modified by 83 FR 49153
(September 28, 2018); and 84 FR 43304
(August 20, 2019), as modified by 84 FR
69447 (December 18, 2019) and 85 FR
Frm 00062
Fmt 4703
Sfmt 4703
Reinstated Exclusions
On October 8, 2021, the U.S. Trade
Representative invited the public to
submit comments on whether to
reinstate certain exclusions previously
granted and extended. See 86 FR 56345
(October 8, 2021). On March 28, 2022,
the U.S. Trade Representative
determined to further modify the action
by reinstating 352 expired exclusions.
The reinstated exclusions applied as of
October 12, 2021, and extended through
December 31, 2022. See 87 FR 17380
(March 28, 2022) (March 28 notice). On
December 21, 2022, the U.S. Trade
Representative determined to extend the
352 reinstated exclusions through
September 30, 2023. See 87 FR 78187
(December 21, 2022).
COVID-Related Exclusions
A. Background
PO 00000
3741 (January 22, 2020). For each
tranche of additional duties, the U.S.
Trade Representative established a
process by which interested persons
could request the exclusion of particular
products subject to the action. With few
exceptions, most of these exclusions
expired in 2019 and 2020.
On March 25, 2020, USTR requested
public comments on proposed
modifications to exclude from
additional duties certain medical-care
products related to the U.S. response to
COVID. 85 FR 16987 (March 25, 2020).
On December 29, 2020, USTR
announced 99 product exclusions for
medical-care products and products
related to the U.S. COVID response. 85
FR 85831 (December 20, 2020). For
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]]>Agencies
[Federal Register Volume 88, Number 249 (Friday, December 29, 2023)]
[Notices]
[Pages 90223-90225]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-28774]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2023-0050]
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 revisions of OMB-approved information collections, and one
extension collection for OMB-approval.
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,
Fax: 202-395-6974.
(SSA), Social Security Administration, OLCA, Attn: Reports
Clearance Director, Mail Stop 3253 Altmeyer, 6401 Security Blvd.,
Baltimore, MD 21235, Fax: 833-410-1631, Email address:
[email protected].
Or you may submit your comments online through https://www.reginfo.gov/public/do/PRAmain by clicking on Currently under
Review--Open for Public Comments and choosing to click on one of SSA's
published items. Please reference Docket ID Number [SSA-2023-0050] in
your submitted response.
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
February 27, 2024. Individuals can obtain copies of the collection
instruments by writing to the above email address.
Employee Work Activity Questionnaire--20 CFR 404.1574(a)(1)-(3)--
0960-0483. Social Security Disability Insurance (SSDI) beneficiaries
and Supplemental Security Income (SSI) recipients qualify for payments
when a verified physical or mental impairment prevents them from
working. If disability claimants attempt to return to work after
receiving payments, but are unable to continue working, they submit
Form SSA-3033, Employee Work Activity Questionnaire, so SSA can
evaluate their work attempt. SSA also uses this form to evaluate
unsuccessful subsidy work and determine applicants' continuing
eligibility for disability payments. The respondents are employers of
SSDI beneficiaries and SSI recipients who unsuccessfully attempted to
return to work.
Type of Request: Extension of an OMB-approved information
collection.
[[Page 90224]]
--------------------------------------------------------------------------------------------------------------------------------------------------------
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) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-3033 Phone.......................... 5,000 1 15 1,250 $59.07 19 *** $167,345
SSA-3033 Returned via mail.............. 10,000 1 15 2,500 59.07 .............. *** 147,675
---------------------------------------------------------------------------------------------------------------
Totals.............................. 15,000 .............. .............. 3,750 .............. .............. 315,020
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average general and operations manager's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes111021.htm).
** 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.
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 January 29, 2024. Individuals can obtain copies of
these OMB clearance packages by writing to the
[email protected].
1. Medicaid Use Report--20 CFR 416.268--0960-0267. Section 1619(b)
of the Social Security Act (Act) and 20 CFR 416.268 of the Code of
Federal Regulations (Code) require SSA to determine eligibility for:
(1) special SSI payments, and (2) special SSI eligibility status for a
person who works despite a disabling condition. Section 20 CFR 416.268
of the Code also provides that to qualify for special SSI eligibility
status, an individual must establish that termination of eligibility
for benefits under title XIX of the Act would seriously inhibit their
ability to continue employment. SSA uses the collected information to
determine if an individual is entitled to special title XVI SSI
payments and, consequently, to Medicaid or Medi-Cal.
In most cases, if an SSI beneficiary is blind or disabled,
regardless of age, and they have Medicaid before beginning to work
again, they can retain their Medicaid benefits while continuing to work
as long as their disabling condition still exists. During a personal or
telephone Redetermination interview with the SSI recipient, an SSA
employee asks the following questions:
Have you used any medical care or services in the past 12
months that were paid for by Medicaid (or Medi-Cal, etc.)?
Do you expect to receive any medical care or services in
the next 12 months that will be paid for by Medicaid (or Medi-Cal,
etc.)?
Without Medicaid (Medi-Cal, etc.), would you be unable to
pay your medical bills if you become ill or injured in the next 12
months?
Generally, a response of ``yes'' to one of those three questions
will lead to SSA determining that an SSI recipient whose payments have
stopped based on earnings, is entitled to special SSI payments and,
consequently, to Medicaid benefits under section 1619 (b) of the Act.
The respondents are SSI recipients for whom SSA has stopped payments
based on earnings.
Type of Request: Extension of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average wait
Average time in field Total annual
Number of Frequency of Average burden Estimated theoretical offices and opportunity
Modality of completion respondents response per response total annual hourly cost teleservice cost (dollars)
(minutes) burden (hours) amount centers ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
20 CFR 416.268 SSI Claims System........ 99,000 1 3 4,950 * $12.81 ** 21 *** $507,276
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average SSI payments based on SSA's current FY 2023 data (https://www.ssa.gov/legislation/2023factsheet.pdf).
** 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.
2. Appeal of Determination for Extra Help with Medicare
Prescription Drug Costs--0960-0695. Public Law 108-173, also known as
the Medicare Prescription Drug, Improvement and Modernization Act of
2003 (MMA), amended title XVIII of the Act to establish a subsidy
program to help certain individuals with limited income and resources
pay for Medicare Part D prescription drug coverage. SSA also commonly
refers to this subsidy program as Extra Help.
Individuals seeking Extra Help may apply via the SSA-1020 paper
form or i1020 online application (OMB No. 0960-0696). If SSA determines
that the claimant is not eligible for Extra Help, SSA will mail a
notice to the claimant indicating that SSA denied the claim. Extra Help
denial notices include appeal rights and explain how to request an
appeal. Individuals learn about the appeal process for Extra Help via
determination notices, 800# representatives, as well as SSA and CMS
websites. Individuals voluntarily initiate the Extra Help appeal
process by printing the form from SSA's online website and sending the
completed form to SSA, contacting SSA's 800 Number to request an
appeal, or going into the field office to request the appeal. If the
individual chooses to call the 800# or go into the field office, an SSA
technician enters the individual's request into the MAPS system. The
system then electronically sends the request to the Subsidy
Determination Unit, who
[[Page 90225]]
schedules an appointment for the appeal and sends an appointment notice
to the individual.
Individuals who appeal SSA's decision regarding eligibility or
continuing eligibility for Medicare Part D Extra Help must complete
Form SSA-1021. The respondent may mail the completed form to either the
local field office or to the Wilkes-Barre Direct Operations Center. The
respondent may also complete the form with assistance from an SSA
technician via an in-person interview at the Field Office or over the
telephone. SSA technicians enter all claims into Medicare Application
Processing System (MAPS), which automatically adjudicates claims based
on the data the technicians input. Respondents are Medicare
beneficiaries, or proper applicants acting on behalf of a Medicare
beneficiary, who do not agree with the outcome of an SSA Extra Help
eligibility determination and want to file an appeal.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average
Average burden Estimated theoretical Average wait Total annual
Modality of completion Number of Frequency of per response total annual hourly cost time in field opportunity
respondents response (minutes) burden (hours) amount office cost (dollars)
(dollars) * (minutes) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-1021--(Paper version)............... 1,859 1 10 310 * $29.76 .............. *** $9,226
SSA-1021--(Internet version: MAPS)...... 5,291 1 10 882 * $29.76 ** 24 *** $89,220
---------------------------------------------------------------------------------------------------------------
Totals.............................. 7,150 .............. .............. 1,192 .............. .............. *** $98,446
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. worker's hourly wages; State and local government worker's salaries; and attorney representative payee wages as
reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_stru.htm).
** 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: December 26, 2023.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2023-28774 Filed 12-28-23; 8:45 am]
BILLING CODE 4191-02-P
