Agency Information Collection Activities: Proposed Request, 74351-74354 [2024-20713]
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74351
Federal Register / Vol. 89, No. 177 / Thursday, September 12, 2024 / Notices
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.25
Sherry R. Haywood,
Assistant Secretary.
[FR Doc. 2024–20638 Filed 9–11–24; 8:45 am]
BILLING CODE 8011–01–P
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2024–0031]
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
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
Modality of completion
Number of
respondents
SSA–821–BK In Office
SSA–821–BK Phone ....
SSA–821–BK Returned
Via Mail .....................
SSA–821–BK Electronic .........................
Totals ....................
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. You
may submit your comments online
through https://www.reginfo.gov/public/
do/PRAMain, referencing Docket ID
Number [SSA–2024–0031].
(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:
OR.Reports.Clearance@ssa.gov. 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–2024–0031] in your submitted
response.
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 November 12, 2024.
Individuals can obtain copies of the
collection instruments by writing to the
above email address.
Average
burden per
response
(minutes)
Frequency
of response
Estimated
total annual
burden
(hours)
1. Work Activity Report—
Employee—20 CFR 404.1520(b),
404.1571–404.1576, 404.1584–404.1593,
and 416.971–404.976—0960–0059.
Section 223(d) of the Social Security Act
(Act) defines the term ‘‘disability’’ as the
inability to engage in any substantial
gainful activity (SGA) by reason of any
medically determinable physical or
mental impairment which one expects
to result in death, or which lasted or is
expected to last for a continuous period
of not less than 12 months. Social
Security Disability (SSDI) and
Supplemental Security Income (SSI)
applicants or recipients can become
entitled to payments based on their
inability to engage in SGA because of a
physical or mental condition. SSA uses
Form SSA–821–BK to obtain work
information during the initial claims
process; the continuing disability
review process; post-adjudicative work
issue actions; and for Supplemental
Security Income (SSI) claims involving
work issues. SSA reviews and evaluates
the data to determine if the applicant or
recipient meets the disability
requirements of the law. The
respondents are applicants or recipients
of Title II Social Security Disability, and
Title XVI SSI applicants.
Type of Request: Revision of an OMBapproved information collection.
Average
theoretical
hourly cost
amount
(dollars) *
Average
wait time
in field office
or for
teleservice
centers
(minutes) **
Total annual
opportunity
cost
(dollars) ***
64,330
128,660
1
1
30
30
32,165
64,330
* $13.30
* 13.30
** 24
** 19
*** 770,030
*** 1,397,458
192,990
1
40
128,660
* 13.30
........................
*** 1,710,380
25,320
411,300
1
........................
45
........................
18,990
244,145
* 13.30
........................
........................
........................
*** 252,567
*** 4,130,435
ddrumheller on DSK120RN23PROD with NOTICES1
* We based this figure on the average of both DI payments based on SSA’s current FY 2024 data (https://mwww.ba.ssa.gov/legislation/
2024FactSheet.pdf), and U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_
nat.htm).
** We based this figure on averaging the average FY 2024 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. Claimant’s Medication—20 CFR
404.1512, 416.912—0960–0289. To
receive Old Age Survivors and
Disability Insurance (OASDI) and SSI
payments, the relevant State Disability
Determination Service (DDS) or field
office (FO) must first adjudicate
claimants’ applications. If the DDS or
FO denies an initial application, the
claimants may request for
25 17
reconsideration of the initial denial. At
that time, the claimants may submit
addition documentation to further
justify their claims. If the DDS denies
the claim at the reconsideration level,
the claimant may then request a hearing
before a judge. Before the hearing, SSA
allows the claimant to submit additional
evidence to support their claim. In
addition, since judges must obtain
information from the claimant to update
and complete their medical record and
to verify the accuracy of the
information, SSA also sends the
claimant Form HA–4632, Claimant’s
Medications, to request information
from the claimant regarding the current
medications they use. This information
helps the judge overseeing the case to
fully investigate: (1) the claimant’s
CFR 200.30–3(a)(12).
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74352
Federal Register / Vol. 89, No. 177 / Thursday, September 12, 2024 / Notices
medical treatment and (2) the effects of
the medications on the claimant’s
medical impairments and functional
capacity. The judge makes the
completed form a part of the
Modality of completion
Number of
respondents
documentary evidence of record,
placing it in the official record of the
proceedings as an exhibit. The
respondents are applicants (or their
representatives) for OASDI or SSI
Average
burden per
response
(minutes)
Frequency
of response
payments who request a hearing to
contest an agency denial of their claim.
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) ***
HA–4632—PDF/paper
version ......................
Electronic Records Express Submissions ...
51,000
1
20
17,000
* $13.30
** 21
*** $463,505
249,000
1
20
83,000
* 31.48
........................
*** 2,612,840
Totals ....................
300,000
........................
........................
100,000
........................
........................
*** 3,076,345
* We based this figure on the average DI payments based on SSA’s current data (https://www.ssa.gov/legislation/2024FactSheet.pdf) and 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 on averaging both the average FY 2024 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.
children use Form SSA–3881–BK to
provide SSA with the addresses of nonmedical sources such as schools,
counselors, agencies, organizations, or
therapists who would have information
about a child’s functioning. SSA uses
this information to help determine a
child’s claim or continuing eligibility
3. Questionnaire for Children
Claiming SSI Benefits—20 CFR
416.912(a)—0960–0499. Sections 1614
and 1631 of the Act allows SSA to
determine the eligibility of an
applicant’s claim for SSI payments.
Parents or legal guardians seeking to
obtain or retain SSI eligibility for their
Modality of completion
Number of
respondents
SSA–3881–BK (Paper
Version) ....................
SSA–3881–BK (Intranet
Version) ....................
Totals ....................
Average
burden per
response
(minutes)
Frequency
of response
for SSI. The respondents are the parents,
guardians, or other caretakers of: (1)
applicants who appeal SSI childhood
disability decisions; or (2) recipients
undergoing a continuing disability
review.
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) ***
98,307
1
30
49,154
* $31.48
** 24
*** $2,785,256
52,936
1
30
26,468
* 31.48
** 21
*** 1,416,474
151,243
........................
........................
75,622
........................
........................
*** 4,201,730
* We based this figure on average U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/
oes_nat.htm).
** We based this figure on the average FY 2024 wait times for field offices and hearings office, as well as by averaging both the average FY
2024 wait times for field offices (24 minutes) and teleservice centers (19 minutes), 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
4. Requests for Self-Employment
Information, Employee Information, and
Employer Information—20 CFR
422.120—0960–0508. When SSA cannot
identify Form W–2 wage data for an
individual, we place the data in an
earnings suspense file and contact the
individual (and certain instances the
Modality of completion
Number of
respondents
SSA–L2765 * ................
SSA–L3365 * ................
SSA–L4002 * ................
VerDate Sep<11>2014
20:43 Sep 11, 2024
employer) to obtain the correct
information. If the respondent furnishes
the name and Social Security Number
(SSN) information that agrees with
SSA’s records, or provides information
that resolves the discrepancy, SSA adds
the reported earnings to the
respondent’s Social Security record. We
Average
burden per
response
(minutes)
Frequency
of response
1
1
1
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1
1
1
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Average
theoretical
hourly cost
amount
(dollars) **
Estimated
total annual
burden
(hours)
10
10
10
Sfmt 4703
use Forms SSA–L2765, SSA–L3365, and
SSA–L4002 for this purpose. The
respondents are self-employed
individuals and employees whose name
and SSN information do not agree with
their employer’s and SSA’s records.
Type of Request: Revision of an OMB
approved information collection.
1
1
1
** $31.48
** 31.48
** 31.48
E:\FR\FM\12SEN1.SGM
12SEN1
Total annual
opportunity
cost
(dollars) ***
........................
........................
........................
*** $31.48
*** 31.48
*** 31.48
Federal Register / Vol. 89, No. 177 / Thursday, September 12, 2024 / Notices
Modality of completion
Number of
respondents
Totals ....................
1
Frequency
of response
Average
burden per
response
(minutes)
........................
........................
Average
theoretical
hourly cost
amount
(dollars) **
Estimated
total annual
burden
(hours)
3
........................
74353
Total annual
opportunity
cost
(dollars) ***
........................
*** 94
* SSA does not currently send out any of these collections; however, we included 1 hour burden placeholders for each collection, in the event
we need to send these notices out in the near future.
** We based this figure on average U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm).
*** 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. Function Report—Child (Birth to
1st Birthday, Age 1 to 3rd Birthday, Age
3 to 6th Birthday, Age 6 to 12th
Birthday, Age 12 to 18th Birthday)—20
CFR 416.912 and 416.924a(a)(2)—0960–
0542. As part of SSA’s disability
determination process, we use Forms
SSA–3375–BK through SSA–3379–BK
to request information from a child’s
parent or guardian for children applying
for SSI. The five different versions of the
form contain questions about the child’s
Modality of completion
(paper & Intranet
versions)
SSA–3375
SSA–3376
SSA–3377
SSA–3378
SSA–3379
Totals
Number of
respondents
....................
....................
....................
....................
....................
....................
26,864
53,347
108,745
193,800
142,006
524,762
day-to-day functioning appropriate to a
particular age group; thus, respondents
use only one version of the form for
each child. The adjudicative team
(disability examiners and medical or
psychological consultants) of State
disability determination services offices
collect the information on the
appropriate version of this form (in
conjunction with medical and other
evidence) to form a complete picture of
the children’s ability to function and
Frequency
of response
Average
burden per
response
(minutes)
1
1
1
1
1
........................
20
20
20
20
20
........................
their impairment-related limitations.
The adjudicative team uses the
completed profile to determine: (1) if
each child’s impairment(s) results in
marked and severe functional
limitations; and (2) whether each child
is disabled. The respondents are parents
and guardians of child applicants for
SSI.
Type of Request: Revision of an OMBapproved information collection.
Average
theoretical
hourly cost
amount
(dollars) *
Average
wait time
in field office
or teleservice
center
(minutes) **
Total annual
opportunity
cost
(dollars) ***
* $31.48
* 31.48
* 31.48
* 31.48
* 31.48
........................
** 21
** 21
** 21
** 21
** 21
........................
*** $577,878
*** 1,147,540
*** 2,339,247
*** 4,168,896
*** 3,054,725
*** 11,288,286
Estimated
total annual
burden
(hours)
8,955
17,782
36,248
64,600
47,335
174,921
* 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 on the average FY 2024 wait times for field offices (24 minutes) and Teleservice Centers (19 minutes), 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
6. Representative Payee Report of
Benefits and Dedicated Account—20
CFR 416.546, 416.635, 416.640, and
416.665—0960–0576. SSA requires
representative payees (RPs) to manage
the dedicated account in accordance
with our rules, including using the
funds for permitted expenditures and
reporting on the use of funds. When the
SSI recipient requires a dedicated
account, SSA notifies the RP to inform
them of the need to open the dedicated
VerDate Sep<11>2014
20:43 Sep 11, 2024
Jkt 262001
account and of the rules for managing a
dedicated account, including the
required submission of a written report
accounting for the use of money paid to
Social Security or Supplemental
Security Income (SSI) recipients into the
dedicated account. SSA allows the
respondent to submit their own written
report, or use Form SSA–6233, which
simplifies the process for the
respondents. SSA uses Form SSA–6233
to: (1) ensure the RPs use the payments
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for the recipient’s current maintenance
and personal needs and properly
conserves the remainder; and (2)
confirm the funds paid into the
dedicated account are spent and saved
in compliance with the law.
Respondents are RPs for SSI and Social
Security recipients.
Type of Request: Revision of an OMBapproved information collection.
E:\FR\FM\12SEN1.SGM
12SEN1
74354
Federal Register / Vol. 89, No. 177 / Thursday, September 12, 2024 / Notices
Modality of completion
Number of
respondents
SSA–6233 ....................
Average
burden per
response
(minutes)
Frequency
of response
68,000
1
Estimated
total annual
burden
(hours)
20
Average
theoretical
hourly cost
amount
(dollars) *
22,667
Average
wait time
in field
office or
for
teleservice
centers
(minutes) **
* $31.48
** 21
Total annual
opportunity
cost
(dollars) ***
*** $1,462,781
* We based this figure on average U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/
oes_nat.htm#00-0000).
** We based this figure on averaging both the average FY 2024 wait times for field offices (24 minutes) and teleservice centers (19 minutes),
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.
7. Sheltered Workshop Wage
Reporting—0960–0771. Sheltered
workshops are private non-profit
organizations or institutions that
implement a recognized program of
rehabilitation for handicapped workers
or provide such workers with
remunerative employment or other
occupational rehabilitating activity of an
Modality of completion
educational or therapeutic nature.
Sheltered workshops perform a service
for their clients by reporting monthly
wages directly to SSA. SSA uses the
information these workshops provide to
verify and post monthly wages to SSI
recipient’s records. Most workshops
report monthly wage totals to their local
SSA office, so we can adjust the client’s
Number of
respondents
Frequency
of response
244
12
Sheltered Workshop
Wage Reporting ...........
Total
number of
responses
Average
burden per
response
(minutes)
2,928
SSI payment amount in a timely manner
and prevent overpayments. Sheltered
workshops are motivated to report
wages voluntarily as a service to their
clients. Respondents are sheltered
workshops that report monthly wages
for services performed in the workshop.
Type of Request: Revision of an OMBapproved information collection.
Estimated
total annual
burden
(hours)
15
Average
theoretical
hourly cost
amount
(dollars) *
732
Average
wait time
in field
office
(minutes) **
Total annual
opportunity
cost
(dollars) ***
** 24
*** $19,322
* $23.28
* We based this on average Rehabilitation Counselors hourly salary, as reported in Bureau of Labor Statistics data (https://www.bls.gov/oes/
current/oes211015.htm)
** We based this figure on the average FY 2024 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: September 9, 2024.
Naomi Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2024–20713 Filed 9–11–24; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice: 12534]
Notice of Determinations; Additional
Culturally Significant Object Being
Imported for Exhibition—
Determinations: ‘‘Tamara de Lempicka’’
Exhibition
On July 10, 2024, notice was
published in the Federal Register of
determinations pertaining to certain
objects to be included in an exhibition
entitled ‘‘Tamara de Lempicka.’’ Notice
is hereby given of the following
determinations: I hereby determine that
a certain additional object being
imported from abroad pursuant to an
agreement with its foreign owner or
ddrumheller on DSK120RN23PROD with NOTICES1
SUMMARY:
VerDate Sep<11>2014
20:43 Sep 11, 2024
Jkt 262001
custodian for temporary display in the
aforesaid exhibition at the Fine Arts
Museums of San Francisco, de Young
Museum, San Francisco, California; the
Museum of Fine Arts, Houston, in
Houston, Texas; and at possible
additional exhibitions or venues yet to
be determined, is of cultural
significance, and, further, that its
temporary exhibition or display within
the United States as aforementioned is
in the national interest. I have ordered
that Public Notice of these
determinations be published in the
Federal Register.
FOR FURTHER INFORMATION CONTACT:
Reed Liriano, Program Coordinator,
Office of the Legal Adviser, U.S.
Department of State (telephone: 202–
632–6471; email: section2459@
state.gov). The mailing address is U.S.
Department of State, L/PD, 2200 C
Street, NW (SA–5), Suite 5H03,
Washington, DC 20522–0505.
by the Act of October 19, 1965 (79 Stat.
985; 22 U.S.C. 2459), Executive Order
12047 of March 27, 1978, the Foreign
Affairs Reform and Restructuring Act of
1998 (112 Stat. 2681, et seq.; 22 U.S.C.
6501 note, et seq.), Delegation of
Authority No. 234 of October 1, 1999,
Delegation of Authority No. 236–3 of
August 28, 2000, and Delegation of
Authority No. 523 of December 22,
2021. The notice of determinations
published on July 10, 2024, appears at
89 FR 56784.
Nicole L. Elkon,
Deputy Assistant Secretary for Professional
and Cultural Exchanges, Bureau of
Educational and Cultural Affairs, Department
of State.
[FR Doc. 2024–20647 Filed 9–11–24; 8:45 am]
BILLING CODE 4710–05–P
The
foregoing determinations were made
pursuant to the authority vested in me
SUPPLEMENTARY INFORMATION:
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Agencies
[Federal Register Volume 89, Number 177 (Thursday, September 12, 2024)]
[Notices]
[Pages 74351-74354]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-20713]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2024-0031]
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 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.
You may submit your comments online through https://www.reginfo.gov/public/do/PRAMain, referencing Docket ID Number [SSA-2024-0031].
(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-2024-0031] in your submitted
response.
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
November 12, 2024. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Work Activity Report--Employee--20 CFR 404.1520(b), 404.1571-
404.1576, 404.1584-404.1593, and 416.971-404.976--0960-0059. Section
223(d) of the Social Security Act (Act) defines the term ``disability''
as the inability to engage in any substantial gainful activity (SGA) by
reason of any medically determinable physical or mental impairment
which one expects to result in death, or which lasted or is expected to
last for a continuous period of not less than 12 months. Social
Security Disability (SSDI) and Supplemental Security Income (SSI)
applicants or recipients can become entitled to payments based on their
inability to engage in SGA because of a physical or mental condition.
SSA uses Form SSA-821-BK to obtain work information during the initial
claims process; the continuing disability review process; post-
adjudicative work issue actions; and for Supplemental Security Income
(SSI) claims involving work issues. SSA reviews and evaluates the data
to determine if the applicant or recipient meets the disability
requirements of the law. The respondents are applicants or recipients
of Title II Social Security Disability, and Title XVI SSI applicants.
Type of Request: 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
Modality of completion respondents response per response total annual hourly cost teleservice cost (dollars)
(minutes) burden (hours) amount centers ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-821-BK In Office.................... 64,330 1 30 32,165 * $13.30 ** 24 *** 770,030
SSA-821-BK Phone........................ 128,660 1 30 64,330 * 13.30 ** 19 *** 1,397,458
SSA-821-BK Returned Via Mail............ 192,990 1 40 128,660 * 13.30 .............. *** 1,710,380
SSA-821-BK Electronic................... 25,320 1 45 18,990 * 13.30 .............. *** 252,567
Totals.............................. 411,300 .............. .............. 244,145 .............. .............. *** 4,130,435
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average of both DI payments based on SSA's current FY 2024 data (https://mwww.ba.ssa.gov/legislation/2024FactSheet.pdf),
and U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm).
** We based this figure on averaging the average FY 2024 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. Claimant's Medication--20 CFR 404.1512, 416.912--0960-0289. To
receive Old Age Survivors and Disability Insurance (OASDI) and SSI
payments, the relevant State Disability Determination Service (DDS) or
field office (FO) must first adjudicate claimants' applications. If the
DDS or FO denies an initial application, the claimants may request for
reconsideration of the initial denial. At that time, the claimants may
submit addition documentation to further justify their claims. If the
DDS denies the claim at the reconsideration level, the claimant may
then request a hearing before a judge. Before the hearing, SSA allows
the claimant to submit additional evidence to support their claim. In
addition, since judges must obtain information from the claimant to
update and complete their medical record and to verify the accuracy of
the information, SSA also sends the claimant Form HA-4632, Claimant's
Medications, to request information from the claimant regarding the
current medications they use. This information helps the judge
overseeing the case to fully investigate: (1) the claimant's
[[Page 74352]]
medical treatment and (2) the effects of the medications on the
claimant's medical impairments and functional capacity. The judge makes
the completed form a part of the documentary evidence of record,
placing it in the official record of the proceedings as an exhibit. The
respondents are applicants (or their representatives) for OASDI or SSI
payments who request a hearing to contest an agency denial of their
claim.
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) ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
HA-4632--PDF/paper version.............. 51,000 1 20 17,000 * $13.30 ** 21 *** $463,505
Electronic Records Express Submissions.. 249,000 1 20 83,000 * 31.48 .............. *** 2,612,840
---------------------------------------------------------------------------------------------------------------
Totals.............................. 300,000 .............. .............. 100,000 .............. .............. *** 3,076,345
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average DI payments based on SSA's current data (https://www.ssa.gov/legislation/2024FactSheet.pdf) and 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 on averaging both the average FY 2024 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.
3. Questionnaire for Children Claiming SSI Benefits--20 CFR
416.912(a)--0960-0499. Sections 1614 and 1631 of the Act allows SSA to
determine the eligibility of an applicant's claim for SSI payments.
Parents or legal guardians seeking to obtain or retain SSI eligibility
for their children use Form SSA-3881-BK to provide SSA with the
addresses of non-medical sources such as schools, counselors, agencies,
organizations, or therapists who would have information about a child's
functioning. SSA uses this information to help determine a child's
claim or continuing eligibility for SSI. The respondents are the
parents, guardians, or other caretakers of: (1) applicants who appeal
SSI childhood disability decisions; or (2) recipients undergoing a
continuing disability review.
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-3881-BK (Paper Version)............. 98,307 1 30 49,154 * $31.48 ** 24 *** $2,785,256
SSA-3881-BK (Intranet Version).......... 52,936 1 30 26,468 * 31.48 ** 21 *** 1,416,474
---------------------------------------------------------------------------------------------------------------
Totals.............................. 151,243 .............. .............. 75,622 .............. .............. *** 4,201,730
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm).
** We based this figure on the average FY 2024 wait times for field offices and hearings office, as well as by averaging both the average FY 2024 wait
times for field offices (24 minutes) and teleservice centers (19 minutes), 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.
4. Requests for Self-Employment Information, Employee Information,
and Employer Information--20 CFR 422.120--0960-0508. When SSA cannot
identify Form W-2 wage data for an individual, we place the data in an
earnings suspense file and contact the individual (and certain
instances the employer) to obtain the correct information. If the
respondent furnishes the name and Social Security Number (SSN)
information that agrees with SSA's records, or provides information
that resolves the discrepancy, SSA adds the reported earnings to the
respondent's Social Security record. We use Forms SSA-L2765, SSA-L3365,
and SSA-L4002 for this purpose. The respondents are self-employed
individuals and employees whose name and SSN information do not agree
with their employer's and SSA's records.
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-L2765 *............................. 1 1 10 1 ** $31.48 .............. *** $31.48
SSA-L3365 *............................. 1 1 10 1 ** 31.48 .............. *** 31.48
SSA-L4002 *............................. 1 1 10 1 ** 31.48 .............. *** 31.48
[[Page 74353]]
Totals.............................. 1 .............. .............. 3 .............. .............. *** 94
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* SSA does not currently send out any of these collections; however, we included 1 hour burden placeholders for each collection, in the event we need to
send these notices out in the near future.
** We based this figure on average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm).
*** 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. Function Report--Child (Birth to 1st Birthday, Age 1 to 3rd
Birthday, Age 3 to 6th Birthday, Age 6 to 12th Birthday, Age 12 to 18th
Birthday)--20 CFR 416.912 and 416.924a(a)(2)--0960-0542. As part of
SSA's disability determination process, we use Forms SSA-3375-BK
through SSA-3379-BK to request information from a child's parent or
guardian for children applying for SSI. The five different versions of
the form contain questions about the child's day-to-day functioning
appropriate to a particular age group; thus, respondents use only one
version of the form for each child. The adjudicative team (disability
examiners and medical or psychological consultants) of State disability
determination services offices collect the information on the
appropriate version of this form (in conjunction with medical and other
evidence) to form a complete picture of the children's ability to
function and their impairment-related limitations. The adjudicative
team uses the completed profile to determine: (1) if each child's
impairment(s) results in marked and severe functional limitations; and
(2) whether each child is disabled. The respondents are parents and
guardians of child applicants for SSI.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average wait
Average time in field Total annual
Modality of completion (paper & Intranet Number of Frequency of Average burden Estimated theoretical office or opportunity
versions) respondents response per response total annual hourly cost teleservice cost (dollars)
(minutes) burden (hours) amount center ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-3375................................ 26,864 1 20 8,955 * $31.48 ** 21 *** $577,878
SSA-3376................................ 53,347 1 20 17,782 * 31.48 ** 21 *** 1,147,540
SSA-3377................................ 108,745 1 20 36,248 * 31.48 ** 21 *** 2,339,247
SSA-3378................................ 193,800 1 20 64,600 * 31.48 ** 21 *** 4,168,896
SSA-3379................................ 142,006 1 20 47,335 * 31.48 ** 21 *** 3,054,725
Totals.............................. 524,762 .............. .............. 174,921 .............. .............. *** 11,288,286
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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 on the average FY 2024 wait times for field offices (24 minutes) and Teleservice Centers (19 minutes), 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. Representative Payee Report of Benefits and Dedicated Account--
20 CFR 416.546, 416.635, 416.640, and 416.665--0960-0576. SSA requires
representative payees (RPs) to manage the dedicated account in
accordance with our rules, including using the funds for permitted
expenditures and reporting on the use of funds. When the SSI recipient
requires a dedicated account, SSA notifies the RP to inform them of the
need to open the dedicated account and of the rules for managing a
dedicated account, including the required submission of a written
report accounting for the use of money paid to Social Security or
Supplemental Security Income (SSI) recipients into the dedicated
account. SSA allows the respondent to submit their own written report,
or use Form SSA-6233, which simplifies the process for the respondents.
SSA uses Form SSA-6233 to: (1) ensure the RPs use the payments for the
recipient's current maintenance and personal needs and properly
conserves the remainder; and (2) confirm the funds paid into the
dedicated account are spent and saved in compliance with the law.
Respondents are RPs for SSI and Social Security recipients.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 74354]]
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average wait
Average time in field Total annual
Number of Frequency of Average burden Estimated theoretical office or for opportunity
Modality of completion respondents response per response total annual hourly cost teleservice cost (dollars)
(minutes) burden (hours) amount centers ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-6233................................ 68,000 1 20 22,667 * $31.48 ** 21 *** $1,462,781
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm#00-0000).
** We based this figure on averaging both the average FY 2024 wait times for field offices (24 minutes) and teleservice centers (19 minutes), 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.
7. Sheltered Workshop Wage Reporting--0960-0771. Sheltered
workshops are private non-profit organizations or institutions that
implement a recognized program of rehabilitation for handicapped
workers or provide such workers with remunerative employment or other
occupational rehabilitating activity of an educational or therapeutic
nature. Sheltered workshops perform a service for their clients by
reporting monthly wages directly to SSA. SSA uses the information these
workshops provide to verify and post monthly wages to SSI recipient's
records. Most workshops report monthly wage totals to their local SSA
office, so we can adjust the client's SSI payment amount in a timely
manner and prevent overpayments. Sheltered workshops are motivated to
report wages voluntarily as a service to their clients. Respondents are
sheltered workshops that report monthly wages for services performed in
the workshop.
Type of Request: Revision of an OMB-approved information
collection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Average Total
Average Estimated Average wait time annual
Number of Frequency Total burden per total theoretical in field opportunity
Modality of completion respondents of response number of response annual hourly cost office cost
responses (minutes) burden amount (minutes) (dollars)
(hours) (dollars) * ** ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
Sheltered Workshop Wage Reporting............... 244 12 2,928 15 732 * $23.28 ** 24 *** $19,322
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this on average Rehabilitation Counselors hourly salary, as reported in Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes211015.htm)
** We based this figure on the average FY 2024 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: September 9, 2024.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2024-20713 Filed 9-11-24; 8:45 am]
BILLING CODE 4191-02-P