Agency Information Collection Activities: Proposed Request and Comment Request, 97155-97158 [2024-28509]
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Federal Register / Vol. 89, No. 235 / Friday, December 6, 2024 / Notices
SMALL BUSINESS ADMINISTRATION
[Disaster Declaration #20902 and #20903;
PUERTO RICO Disaster Number PR–20003]
Presidential Declaration of a Major
Disaster for Public Assistance Only for
the Commonwealth of Puerto Rico
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 Commonwealth of Puerto Rico
(FEMA–4850–DR), dated November 27,
2024.
Incident: Tropical Storm Ernesto.
DATES: Issued on November 27, 2024.
Incident Period: August 13, 2024
through August 16, 2024.
Physical Loan Application Deadline
Date: January 27, 2025.
Economic Injury (EIDL) Loan
Application Deadline Date: August 27,
2025.
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
November 27, 2024, Private Non-Profit
organizations that provide essential
services of a governmental nature may
file disaster loan applications online
using the MySBA Loan Portal https://
lending.sba.gov or other locally
announced locations. Please contact the
SBA disaster assistance customer
service center by email at
disastercustomerservice@sba.gov or by
phone at 1–800–659–2955 for further
assistance.
The following areas have been
determined to be adversely affected by
the disaster:
Primary Municipalities: Aibonito,
Anasco, Aguas Buenas,
Barranquitas, Canovanas, Ceiba,
Coamo, Comerio, Corozal,
Hormigueros, Jayuya, Las Marias,
Loiza, Manati, Maricao, Maunabo,
Mayaguez, Naguabo, Orocovis, San
Lorenzo, San Sebastian, Santa
Isabel, Vega Alta, Vieques, Villalba,
Yabucoa.
The Interest Rates are:
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SUMMARY:
Percent
For Physical Damage:
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The following areas have been
determined to be adversely affected by
the disaster:
3.250 Primary Counties: Ventura.
Contiguous Counties:
California: Kern, Los Angeles, Santa
3.250
Barbara.
Percent
Non-Profit Organizations with
Credit Available Elsewhere ...
Non-Profit Organizations without Credit Available Elsewhere .....................................
For Economic Injury:
Non-Profit Organizations without Credit Available Elsewhere .....................................
The Interest Rates are:
3.250
The number assigned to this disaster
for physical damage is 20902B and for
economic injury is 209030.
(Catalog of Federal Domestic Assistance
Number 59008)
Alejandro Contreras,
Acting Deputy Associate Administrator,
Office of Disaster Recovery & Resilience.
[FR Doc. 2024–28565 Filed 12–5–24; 8:45 am]
BILLING CODE 8026–09–P
SMALL BUSINESS ADMINISTRATION
[Disaster Declaration #20896 and #20897;
CALIFORNIA Disaster Number CA–20029]
Administrative Declaration of a
Disaster for the State of California
U.S. Small Business
Administration.
ACTION: Notice.
Percent
For Physical Damage:
Homeowners with Credit Available Elsewhere ....................
Homeowners without Credit
Available Elsewhere ............
Businesses with Credit Available Elsewhere ....................
Businesses without Credit
Available Elsewhere ............
Non-Profit Organizations with
Credit Available Elsewhere
Non-Profit Organizations without Credit Available Elsewhere ...................................
For Economic Injury:
Business and Small Agricultural Cooperatives without
Credit Available Elsewhere
Non-Profit Organizations without Credit Available Elsewhere ...................................
5.125
2.563
8.000
4.000
3.625
3.625
4.000
3.625
AGENCY:
This is a notice of an
Administrative declaration of a disaster
for the State of California dated
November 29, 2024.
Incident: Mountain Fire.
DATES: Issued on November 29, 2024.
Incident Period: November 6, 2024
and continuing.
Physical Loan Application Deadline
Date: January 28, 2025.
Economic Injury (EIDL) Loan
Application Deadline Date: August 29,
2025.
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
Administrator’s disaster declaration,
applications for disaster loans may be
submitted online using the MySBA
Loan Portal https://lending.sba.gov or
other locally announced locations.
Please contact the SBA disaster
assistance customer service center by
email at disastercustomerservice@
sba.gov or by phone at 1–800–659–2955
for further assistance.
SUMMARY:
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The number assigned to this disaster
for physical damage is 208965 and for
economic injury is 208970.
The State which received an EIDL
Declaration is California.
(Catalog of Federal Domestic Assistance
Number 59008)
Isabella Guzman,
Administrator.
[FR Doc. 2024–28528 Filed 12–5–24; 8:45 am]
BILLING CODE 8026–09–P
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA–2024–0052]
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 extensions
and revisions of OMB-approved
information collections.
SSA is soliciting comments on the
accuracy of the agency’s burden
estimate; the need for the information;
its practical utility; ways to enhance its
quality, utility, and clarity; and ways to
minimize burden on respondents,
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Federal Register / Vol. 89, No. 235 / Friday, December 6, 2024 / Notices
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,
(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–
2024–0052] 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 4, 2025. Individuals
can obtain copies of the collection
instrument by writing to the above
email address.
Coverage of Employees of State and
Local Governments—20 CFR 404—
0960–0425. The Code of Federal
Regulations at 20 CFR 404, Subpart M,
prescribes the rules for States
Number of
respondents
Regulation section
Average
burden per
response
(minutes)
Frequency of
response
submitting reports of deposits and
recordkeeping to SSA. SSA requires
States (and interstate instrumentalities)
to provide wage and deposit
contribution information for pre-1987
periods. Not all states have completely
satisfied their pending wage report and
contribution liability with SSA for pre1987 tax years. SSA needs these
regulations until all pending items with
all states are closed out, and to provide
for collection of this information in the
future, if necessary. The respondents are
State and local governments or
interstate instrumentalities.
Type of Request: Extension of an
OMB-approved Information Collection.
Average
theoretical
hourly cost
amount
(dollars) *
Total
annual
burden
(hours)
Total annual
opportunity
cost
(dollars) **
404. 1204 (a) & (b) ..................................
404.1215 ..................................................
404. 1216 (a) & (b) ..................................
52
52
52
1
1
1
30
60
60
26
52
52
$32.39
* 32.39
* 32.39
** $842
** 1,684
** 1,684
Totals ................................................
156
........................
........................
130
........................
** 4,210
* We based this figure by averaging both the average State Government hourly wages (https://www.bls.gov/oes/current/naics4_999200.htm),
and the average Local Government hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/naics4_
999300.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
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 6, 2025. Individuals can obtain
copies of these OMB clearance packages
by writing to the
OR.Reports.Clearance@ssa.gov.
Number of
respondents
Modality of completion
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SSA–821–BK
SSA–821–BK
SSA–821–BK
SSA–821–BK
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. SSA uses
Form SSA–821–BK to collect recipient
employment information to determine
whether recipients worked after
becoming disabled and, if so, whether
the work is substantial gainful activity.
In addition, SSA uses the SSA–821–BK
and SSA–821–APP to obtain work
information during the initial claims
process, the continuing disability
Average
burden per
response
(minutes)
Frequency of
response
Estimated
total annual
burden
(hours)
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
wait time in
field office
or for
teleservice
centers
(minutes) **
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity cost
(dollars) ***
In Office ..........................
Phone .............................
Returned Via Mail ..........
Electronic .......................
64,330
128,660
192,990
25,320
1
1
1
1
30
30
40
45
32,165
64,330
128,660
18,990
* $13.30
* 13.30
* 13.30
* 13.30
** 24
** 19
........................
........................
*** $770,030
*** 1,397,458
*** 1,710,380
*** 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 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.
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2. Claimant’s Medication—20 CFR
404.1512, 416.912—0960–0289. To
receive Old Age Survivors and
Disability Insurance (OASDI) and
Supplemental Security Income (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
Number of
respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency of
response
Estimated
total annual
burden
(hours)
fully investigate: (1) the claimant’s
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 OMBapproved information collection.
Average
wait time in
field office
or for
teleservice
centers
(minutes) **
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity cost
(dollars) ***
HA–46321—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.
3. Questionnaire for Children
Claiming SSI Benefits—20 CFR
416.912(a)—0960–0499. Sections 1614
and 1631 of the Act allow 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
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
Number of
respondents
Modality of completion
Average
burden per
response
(minutes)
Frequency of
response
Estimated
total annual
burden
(hours)
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) *
Average
wait time in
field office
(minutes) **
Total annual
opportunity cost
(dollars) ***
SSA–3881–BK (Paper Version) ............
SSA–3881–BK (Intranet Version) .........
98,307
52,936
1
1
30
30
49,154
26,468
* $31.48
* 31.48
** 24
** 21
*** $2,785,256
*** 1,416,474
Totals .............................................
151,243
........................
........................
75,622
........................
........................
*** 4,201,730
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* We based this figure on average U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm).
** 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 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.
4. Waiver of Right to Appear—
Disability Hearing—20 CFR 404.913–
404.914, 404.916(b)(5), 416.1413–
416.1414, 416.1416(b)(5)—0960–0534.
Claimants for Social Security disability
payments or their representatives can
use Form SSA–773–U4 to waive their
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18:02 Dec 05, 2024
Jkt 265001
right to appear at a disability hearing.
The disability hearing officer uses the
signed form as a basis for not holding
a hearing, and for preparing a written
decision on the claimant’s request for
disability payments based solely on the
evidence of record. The respondents are
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disability claimants for Social Security
benefits or SSI payments, or their
representatives, who wish to waive their
right to appear at a disability hearing.
Type of Request: Revision of an OMBapproved information collection.
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Federal Register / Vol. 89, No. 235 / Friday, December 6, 2024 / Notices
Modality of completion
Number of
respondents
Frequency of
response
Average
burden per
response
(minutes)
SSA–773–U4 .........................................
4,356
1
3
Estimated
total annual
burden
(hours)
Average
theoretical
hourly cost
amount
(dollars) *
Average
wait time in
field office
or for
teleservice
centers
(minutes) **
Total annual
opportunity cost
(dollars) ***
218
* $13.30
** 24
*** $26,068
* We based this figure on average DI payments based on SSA’s current FY 2024 data (https://mwww.ba.ssa.gov/legislation/2024FactSheet.pdf).
** 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.
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
Number of
respondents
Modality of completion
SSA–3375
SSA–3376
SSA–3377
SSA–3378
SSA–3379
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
Average
burden per
response
(minutes)
Frequency of
response
Estimated
total annual
burden
(hours)
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
wait time in
field office
or for
teleservice
centers
(minutes) **
Average
theoretical
hourly cost
amount
(dollars) *
Total annual
opportunity cost
(dollars) ***
.............................................
.............................................
.............................................
.............................................
.............................................
26,864
53,347
108,745
193,800
142,006
1
1
1
1
1
20
20
20
20
20
8,955
17,782
36,248
64,600
47,335
* $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
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 averaging 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.
Dated: December 2, 2024.
Naomi Sipple,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 2024–28509 Filed 12–5–24; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
[Docket No. SSA–2024–0049]
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Social Security Ruling, SSR 24–3p.;
Titles II and XVI: Use of Occupational
Information and Vocational Specialist
and Vocational Expert Evidence in
Disability Determinations and
Decisions
Social Security Administration.
Notice of Social Security Ruling
AGENCY:
ACTION:
(SSR).
We are providing notice of
SSR 24–3p. This SSR rescinds and
replaces ‘‘SSR 00–4p: Titles II and XVI:
SUMMARY:
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18:02 Dec 05, 2024
Jkt 265001
Use of Vocational Expert and Vocational
Specialist Evidence, and Other Reliable
Occupational Information in Disability
Decisions’’, and explains our standard
for evaluating whether vocational
evidence is sufficient to support a
disability determination or decision.
DATES: We will apply this notice on
January 6, 2025.
FOR FURTHER INFORMATION CONTACT:
Patrick McGuire, Social Security
Administration, Office of Analytics,
Review, and Oversight, Appellate
Operations, 6401 Security Boulevard,
Baltimore, MD 21235–6401, (703) 605–
7100, for information about this notice.
For information on eligibility or filing
for benefits, call our national toll-free
number, 1–800–772–1213 or TTY 1–
800–325–0778, or visit our internet site,
Social Security Online, at https://
www.ssa.gov.
Although
5 U.S.C. 552(a)(1) and (a)(2) do not
SUPPLEMENTARY INFORMATION:
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require us to publish this SSR, we are
publishing it in accordance with 20 CFR
402.35(b)(1).
SSRs represent precedential final
opinions, orders, and statements of
policy and interpretations that we have
adopted relating to the Federal Old Age,
Survivors, and Disability Insurance
program, and Supplemental Security
Income program. We may base SSRs on
determinations or decisions made in our
administrative review process, Federal
court decisions, decisions of our
Commissioner, opinions from our Office
of the General Counsel, or other
interpretations of law and regulations.
Although SSRs do not have the same
force and effect as law, they are binding
on all SSA components in accordance
with 20 CFR 402.35(b)(1).
This SSR will remain in effect until
we publish a notice in the Federal
Register that rescinds it, or until we
publish a new SSR that replaces or
modifies it.
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]]>Agencies
[Federal Register Volume 89, Number 235 (Friday, December 6, 2024)]
[Notices]
[Pages 97155-97158]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-28509]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2024-0052]
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 extensions and revisions of OMB-approved information
collections.
SSA is soliciting comments on the accuracy of the agency's burden
estimate; the need for the information; its practical utility; ways to
enhance its quality, utility, and clarity; and ways to minimize burden
on respondents,
[[Page 97156]]
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,
(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-2024-0052] 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 4, 2025. Individuals can obtain copies of the collection
instrument by writing to the above email address.
Coverage of Employees of State and Local Governments--20 CFR 404--
0960-0425. The Code of Federal Regulations at 20 CFR 404, Subpart M,
prescribes the rules for States submitting reports of deposits and
recordkeeping to SSA. SSA requires States (and interstate
instrumentalities) to provide wage and deposit contribution information
for pre-1987 periods. Not all states have completely satisfied their
pending wage report and contribution liability with SSA for pre-1987
tax years. SSA needs these regulations until all pending items with all
states are closed out, and to provide for collection of this
information in the future, if necessary. The respondents are State and
local governments or interstate instrumentalities.
Type of Request: Extension of an OMB-approved Information
Collection.
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Average
Average burden theoretical Total annual
Regulation section Number of Frequency of per response Total annual hourly cost opportunity
respondents response (minutes) burden (hours) amount cost (dollars)
(dollars) * **
--------------------------------------------------------------------------------------------------------------------------------------------------------
404. 1204 (a) & (b)..................................... 52 1 30 26 $32.39 ** $842
404.1215................................................ 52 1 60 52 * 32.39 ** 1,684
404. 1216 (a) & (b)..................................... 52 1 60 52 * 32.39 ** 1,684
-----------------------------------------------------------------------------------------------
Totals.............................................. 156 .............. .............. 130 .............. ** 4,210
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure by averaging both the average State Government hourly wages (https://www.bls.gov/oes/current/naics4_999200.htm), and the average
Local Government hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/naics4_999300.htm).
** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather,
these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to
respondents to complete the application.
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 6, 2025. Individuals can obtain copies of
these OMB clearance packages by writing to the
[email protected].
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. SSA uses
Form SSA-821-BK to collect recipient employment information to
determine whether recipients worked after becoming disabled and, if so,
whether the work is substantial gainful activity. In addition, SSA uses
the SSA-821-BK and SSA-821-APP 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
Number of Frequency of Average burden Estimated theoretical office or for Total annual
Modality of completion respondents response per response total annual hourly cost teleservice opportunity cost
(minutes) burden (hours) amount centers (dollars) ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-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 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.
[[Page 97157]]
2. Claimant's Medication--20 CFR 404.1512, 416.912--0960-0289. To
receive Old Age Survivors and Disability Insurance (OASDI) and
Supplemental Security Income (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 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 wait
Average time in field
Number of Frequency of Average burden Estimated theoretical office or for Total annual
Modality of completion respondents response per response total annual hourly cost teleservice opportunity cost
(minutes) burden (hours) amount centers (dollars) ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
HA-46321--PDF/paper version......... 51,000 1 20 17,000 * $13.30 ** 21 *** $463,505
Electronic Records Express 249,000 1 20 83,000 * 31.48 .............. *** 2,612,840
Submissions........................
-------------------------------------------------------------------------------------------------------------------
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 allow 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 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 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 cost
respondents response (minutes) burden (hours) amount office (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 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.
4. Waiver of Right to Appear--Disability Hearing--20 CFR 404.913-
404.914, 404.916(b)(5), 416.1413-416.1414, 416.1416(b)(5)--0960-0534.
Claimants for Social Security disability payments or their
representatives can use Form SSA-773-U4 to waive their right to appear
at a disability hearing. The disability hearing officer uses the signed
form as a basis for not holding a hearing, and for preparing a written
decision on the claimant's request for disability payments based solely
on the evidence of record. The respondents are disability claimants for
Social Security benefits or SSI payments, or their representatives, who
wish to waive their right to appear at a disability hearing.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 97158]]
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Average wait
Average time in field
Number of Frequency of Average burden Estimated total theoretical office or for Total annual
Modality of completion respondents response per response annual burden hourly cost teleservice opportunity cost
(minutes) (hours) amount centers (dollars) ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-773-U4................... 4,356 1 3 218 * $13.30 ** 24 *** $26,068
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments based on SSA's current FY 2024 data (https://mwww.ba.ssa.gov/legislation/2024FactSheet.pdf).
** 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.
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
Number of Frequency of Average burden Estimated theoretical office or for Total annual
Modality of completion respondents response per response total annual hourly cost teleservice opportunity cost
(minutes) burden (hours) amount centers (dollars) ***
(dollars) * (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-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 averaging 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.
Dated: December 2, 2024.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2024-28509 Filed 12-5-24; 8:45 am]
BILLING CODE 4191-02-P
