79064 Federal Register / Vol. 85, No. 236 / Tuesday, December 8, 2020 / Notices 

purposes of publication in the Federal 

Register. 

Faye I. Lipsky, 

Federal Register Liaison, Office of Legislation 

and Congressional Affairs, Social Security 

Administration. 

[FR Doc. 2020–26911 Filed 12–7–20; 8:45 am] 

BILLING CODE 4191–02–P 

SOCIAL SECURITY ADMINISTRATION 

[Docket No: SSA–2020–0051] 

Agency Information Collection 

Activities: 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. 

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, Email address: 

OIRA_Submission@omb.eop.gov 

(SSA) Social Security Administration, 

OLCA, Attn: Reports Clearance 

Director, 3100 West High Rise, 6401 

Security Blvd., Baltimore, MD 21235, 

Fax: 410–966–2830, Email address: 

OR.Reports.Clearance@ssa.gov 

Or you may submit your comments 

online through www.regulations.gov, 

referencing Docket ID Number [SSA– 

2020–0051]. 

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 7, 2021. Individuals can obtain 

copies of these OMB clearance packages 

by writing to OR.Reports.Clearance@

ssa.gov. 

1. Disability Report-Appeal—20 CFR 

404.1512, 416.912, 404.916(c), 

416.1416(c), 422.140, 404.1713, 

416.1513, 404.1740(b)(4), and 

416.1540(b)(4)—0960–0144. SSA 

requires disability applicants who wish 

to appeal an unfavorable determination 

to complete Form SSA–3441–BK; the 

associated Electronic Disability Collect 

System (EDCS) interview; or the internet 

application, i3441. This allows 

claimants to disclose any changes to 

their disability, or resources, which 

might influence SSA’s unfavorable 

determination. SSA may use the 

information to: (1) Reconsider and 

review an initial disability 

determination; (2) review a continuing 

disability; and (3) evaluate a request for 

a hearing. This information assists the 

State Disability Determination Services 

(DDS) and administrative law judges 

(ALJ) in preparing for the appeals and 

hearings, and in issuing a determination 

or decision on an individual’s 

entitlement (initial or continuing) to 

disability benefits. In addition, the 

information we collect on the SSA– 

3441–BK, or related modalities, 

facilitates SSA’s collection of medical 

information to support the applicant’s 

request for reconsideration; request for 

benefits cessation appeal; and request 

for a hearing before an ALJ. 

Respondents are individuals who 

appeal denial, reduction, or cessation of 

Social Security disability benefits and 

Supplemental Security Income (SSI) 

payments; individuals who wish to 

request a hearing before an ALJ; or their 

representatives. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Average 

wait time in 

field office 

(minutes) ** 

Total annual 

opportunity 

cost 

(dollars) *** 

SSA–3441–BK (Paper Form) ........................ 22,556 1 45 16,917 * $18.22 ** 24 *** $472,609 

Electronic Disability Collect System 

(EDCS)—Individuals .................................. 208,831 1 45 156,623 * 10.73 ** 24 *** 2,576,863 

Electronic Disability Collect System 

(EDCS)—Representatives ......................... 71,652 1 45 53,739 * 25.72 ........................ *** 1,382,167 

i3441 (Internet Application)—Individuals ...... 109,598 1 28 51,146 * 10.73 ........................ *** 548,797 

i3441 (Internet Application)—Representatives ........................................................... 656,424 1 28 306,331 * 25.72 ........................ *** 7,878,833 

Totals ..................................................... 1,069,061 ........................ ........................ 584,756 ........................ ........................ *** 12,859,269 

* We based these figures on average DI hourly wages for single students based on SSA’s current FY 2020 data (https://www.ssa.gov/legislation/ 

2020Fact%20Sheet.pdf), and on average U.S. citizen’s hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes231011.htm), 

as well as a combination of those two figures (for the paper form, as we do not collect data on whether the paper forms are filled out by individuals or representatives 

or both). 

** We based this figure on the average FY 2020 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. Annual Earnings Test Direct Mail 

Follow-Up Program Notices—20 CFR 

404.452–404.455—0960–0369. SSA 

developed the Annual Earnings Test 

Direct Mail Follow-up Program to 

improve beneficiary reporting on work 

and earnings during the year and 

earnings information at the end of the 

year. SSA may reduce benefits payable 

under the Social Security Act (Act) 

when an individual has wages or selfemployment income exceeding the 

annual exempt amount. SSA identifies 

beneficiaries likely to receive more than 

the annual exempt amount, and requests 

more frequent estimates of earnings 

from them. When applicable, SSA also 

requests a future year estimate to reduce 

overpayments due to earnings. SSA 

sends letters (SSA–L9778, SSA–L9779, 

SSA–L9781, SSA–L9784, SSA–L9785, 

and SSA–L9790) to beneficiaries 

requesting earnings information the 

month prior to their attainment of full 

retirement age. We send each 

beneficiary a tailored letter that includes 

relevant earnings data from SSA 

records. The Annual Earnings Test 

Direct Mail Follow-up Program helps to 

ensure Social Security payments are 


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correct, and enables us to prevent 

earnings-related overpayments, and 

avoid erroneous withholding. The 

respondents are working Social Security 

beneficiaries with earnings over the 

exempt amount. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Total annual 

opportunity 

cost 

(dollars) ** 

SSA–L9778 ............................................................................... 42,630 1 10 7,105 $25.72 ** $182,741 

SSA–L9779 ............................................................................... 158,865 1 10 26,478 25.72 ** 681,014 

SSA–L9781 ............................................................................... 472,437 1 10 78,740 25.72 ** 2,025,193 

SSA–L9784 ............................................................................... 1,270 1 10 212 25.72 ** 5,453 

SSA–L9785 ............................................................................... 15,870 1 10 2,645 25.72 ** 68,029 

SSA–L9790 ............................................................................... 45,000 1 10 7,500 25.72 ** 192,900 

Totals ................................................................................. 736,072 ........................ ........................ 122,680 ........................ ** 3,155,330 

* We based these figures on the average U.S. citizen’s hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/ 

oes231011.htm). 

** This figure does not represent actual costs that we are 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. Request for Social Security 

Earnings Information—20 CFR 401.100 

and 404.810—0960–0525. The Social 

Security Act permits wage earners, or 

their authorized representatives, to 

request Social Security earnings 

information from SSA using Form SSA– 

7050–F4. SSA uses the information the 

respondent provides on Form SSA– 

7050–F4 to verify the wage earner has: 

(1) Earnings; (2) the right to access the 

correct Social Security Record; and (3) 

the right to request the earnings 

statement. If we verify all three items, 

SSA produces an Itemized Statement of 

Earnings (Form SSA–1826) and sends it 

to the requestor. The agency charges 

respondents for sending them an 

Itemized Statement of Earnings. 

Respondents are wage earners and their 

authorized representatives who are 

requesting Itemized Statement of 

Earnings records. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Total annual 

opportunity 

cost 

(dollars) ** 

SSA–7050–F4 ........................................................................... 66,800 1 11 12,247 * $25.72 ** $314,993 

* 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). 

** 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. 

Cost Burden to Respondents: The 

agency charges respondents to send 

them an Itemized Statement of Earnings 

for purposes unrelated to the 

administration of our programs. The 

chart below shows the costs to the 

respondents for this request: 

Type of respondent Number of 

requests 

Cost per 

request Annual cost 

Non-Certified Respondent ........................................................................................................... 33,400 $92.00 $3,072,800 

Certified Respondent ................................................................................................................... 33,400 122.00 4,074,800 

Total ...................................................................................................................................... ........................ ........................ 7,147,600 

4. Disability Case Development 

Information Collections By State 

Disability Determination Services On 

Behalf of SSA—20 CFR 404.1503a, 

404.1512, 404.1513, 404.1514, 404.1517, 

404.1519; 20 CFR 404.1613, 404.1614, 

404.1624; 20 CFR 416.903a, 416.912, 

416.913, 416.914, 416.917, 416.919 and 

20 CFR 416.1013, 416.1014, 416.1024— 

0960–0555. State DDSs collect the 

information necessary to administer the 

Social Security Disability Insurance and 

SSI programs. They collect medical 

evidence from consultative examination 

(CE) sources; credential information 

from CE source applicants; and medical 

evidence of record (MER) from 

claimants’ medical sources. The DDSs 

collect information from claimants 

regarding medical appointments, pain, 

symptoms, and impairments. The 

respondents are medical providers, 

other sources of MER, and disability 

claimants. 

Type of Request: Revision of an OMBapproved information collection. 

CE Collections 

There are four CE information 

collections: (a) Medical evidence about 

claimants’ medical condition(s) that 

DDS’s use to make disability 

determinations when the claimant’s 

own medical sources cannot or will not 

provide the required information, and 

proof of credentials from CE providers; 

(b) CE appointment letters; (c) CE 

claimant reports sent to claimants’ 

doctors; and (d) One-time CE claimant 

telehealth call script/letter. 


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79066 Federal Register / Vol. 85, No. 236 / Tuesday, December 8, 2020 / Notices 

(a) MEDICAL EVIDENCE AND CREDENTIALS FROM CE PROVIDERS

Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Total annual 

opportunity 

cost 

(dollars) ** 

CE Paper Submissions ............................................................. 1,400,000 1 30 700,000 * $40.21 ** $28,147,000 

CE Electronic Submissions ....................................................... 296,000 1 10 49,333 * 40.21 ** 1,983,680 

CE Credentials .......................................................................... 4,000 1 15 1,000 * 40.21 ** 40,210 

Totals ................................................................................. 1,700,000 ........................ ........................ 750,333 ........................ ** 30,170,890 

* We based this figure on average Healthcare Practitioners and Technical Occupations hourly salary, as reported by Bureau of Labor Statistics data (https://

www.bls.gov/oes/current/oes290000.htm). 

(b) CE APPOINTMENT LETTERS AND (c) CE CLAIMANTS’ REPORT TO MEDICAL PROVIDERS

Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Total annual 

opportunity 

cost 

(dollars) ** 

(b) CE Appointment Letters ...................................................... 880,000 1 5 73,333 * $10.73 ** $786,863 

(c) CE Claimants’ Report to Medical Providers ........................ 450,000 1 5 37,500 * 10.73 ** 402,375 

Totals ................................................................................. 1,330,000 ........................ ........................ 110,833 ........................ ** 1,189,238 

* We based this figure on average DI payments based on SSA’s current FY 2020 data (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf). 

(d) CE CLAIMANT TELEHEALTH CE CALL SCRIPT/LETTER

Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Total annual 

opportunity 

cost 

(dollars) ** 

CE Claimant Telehealth Call Script/Letter ................................ 10,000 1 5 833 * $10.73 ** $8,938 

* We based this figure on average DI payments based on SSA’s current FY 2020 data (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf). 

MER Collections 

The DDS’s collect MER information 

from the claimant’s medical sources to 

determine a claimant’s physical or 

mental status prior to making a 

disability determination. 

Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Total annual 

opportunity 

cost 

(dollars) ** 

Paper Submissions ................................................................... 3,150,000 1 20 1,050,000 * $40.21 ** $42,220,500 

Electronic Submissions ............................................................. 9,450,000 1 12 1,890,000 * 40.21 ** 75,996,900

Totals ................................................................................. 12,600,000 ........................ ........................ 2,940,000 ........................ ** 118,217,400 

* We based this figure on average Healthcare Practitioners and Technical Occupations hourly salary, as reported by Bureau of Labor Statistics data (https://

www.bls.gov/oes/current/oes290000.htm). 

Pain/Other Symptoms/Impairment 

Information From Claimants 

The DDS’s use information about 

pain/symptoms to determine how pain/ 

symptoms affect the claimant’s ability to 

do work-related activities prior to 

making a disability determination. 

Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Total annual 

opportunity 

cost 

(dollars) ** 

Pain/Other Symptoms/Impairment Information ....................... 2,100,000 1 20 700,000 * $18.23 ** $12,761,000 

* We based this figure on averaging both the average DI payments based on SSA’s current FY 2020 data (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf), 

and the average U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm). 

Grand Total 


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Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Total annual 

opportunity 

cost 

(dollars) ** 

Totals ..................................................................................... 17,740,000 ........................ ........................ 4,501,999 ........................ ** $162,347,466 

** 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. Work History Report—20 CFR 

404.1512, 416.912, 404.1560, 404.1565, 

416.960 and 416.965—0960–0578. 

Under certain circumstances, SSA asks 

individuals applying for disability about 

work they have performed in the past. 

Applicants use Form SSA–3369, Work 

History Report, to provide detailed 

information about jobs held prior to 

becoming unable to work. State DDS 

evaluate the information, together with 

medical evidence, to determine 

eligibility for disability payments. 

Respondents are disability applicants 

and third parties assisting applicants. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Average 

wait time in 

field office 

(minutes) ** 

Total annual 

opportunity 

cost 

(dollars) *** 

SSA–3369 (Paper form) ............................ 1,553,900 1 60 1,553,900 * $18.23 ** 24 *** $39,658,636 

SSA–3369 (EDCS) .................................... 38,049 1 60 38,049 * 18.23 ** 24 *** 971,094 

Totals ................................................. 1,591,949 ........................ ........................ 1,591,949 ........................ ........................ *** 40,629,730 

* We based this figure by averaging both the average DI payments based on SSA’s current FY 2020 data (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf), 

and the average U.S. worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm). 

** We based this figure on the average FY 2020 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. 

6. Teacher Questionnaire and Request 

for Administrative Information—20 CFR 

404.1513, 416.913, and 416.924a(a)— 

0960–0646. When determining the 

effects of a child’s impairment(s), SSA 

obtains information about the child’s 

functioning from teachers; parents; and 

others who observe the child on a daily 

basis. SSA obtains results of formal 

testing, teacher reports, therapy progress 

notes, individualized education 

programs, and other records of a child’s 

educational aptitude and achievements 

using Forms SSA–5665–BK and SSA– 

5666. The respondents are parents, 

teachers, and other education personnel. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Total annual 

opportunity 

cost 

(dollars) ** 

SSA–5665–BK (electronic) ....................................................... 246,539 1 40 164,359 * $26.14 ** $4,296,344 

SSA–5666 (electronic) .............................................................. 91,186 1 30 45,593 * 26.14 ** 1,191,801 

Totals ................................................................................. 337,725 ........................ ........................ 209,952 ........................ ** 5,488,145 

* We based this figure on average Elementary and Secondary School worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/ 

oes/current/oes250000.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. 

7. Medicare Part D Subsidies 

Regulations—20 CFR 418.3625(c), 

418.3645, 418.3665(a), and 418.3670— 

0960–0702. The Medicare Prescription 

Drug Improvement and Modernization 

Act (MMA) of 2003 established the 

Medicare Part D program for voluntary 

prescription drug coverage of premium, 

deductible, and co-payment costs for 

certain low-income individuals. The 

MMA also mandated the provision of 

subsidies for those individuals who 

qualify for the program and who meet 

eligibility criteria for help with 

premium, deductible, or co-payment 

costs. This law requires SSA to make 

eligibility determinations, and to 

provide a process for appealing SSA’s 

determinations. Regulation sections 

418.3625(c), 418.3645, 418.3665(a), and 

418.3670 contain public reporting 

requirements pertaining to 

administrative review hearings. 

Respondents are applicants for the 

Medicare Part D subsidies who request 

an administrative review hearing. 

Type of Request: Revision of an 

existing OMB-approved information 

collection. 

Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Total annual 

opportunity 

cost 

(dollars) *** 

418.3625(c) ............................................................................... 110 1 5 9 ** $10.73 *** $97 

418.3645 ................................................................................... 10 1 5 1 ** 10.73 *** 11 


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Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Total annual 

opportunity 

cost 

(dollars) *** 

418.3665(a) ............................................................................... 215 1 5 18 ** 10.73 *** 193 

418.3670 * ................................................................................. 0 1 10 0 ........................ ........................

Total ................................................................................... 335 ........................ ........................ 28 ........................ *** 301 

* Regulation section 418.3670 could be used at any time; however, we currently have no data showing usage over the past three years. 

** We based this figure on average DI payments (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf) 

*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to respondents to complete the 

application. 

8. Electronic Records Express—20 

CFR 404.1512 and 416.912—0960–0753. 

Electronic Records Express (ERE) is a 

Web-based SSA program which allows 

medical and educational providers to 

electronically submit disability claimant 

data to SSA. Both medical providers 

and other third parties with connections 

to disability applicants or recipients 

(e.g., teachers and school administrators 

for child disability applicants) use this 

system once they complete the 

registration process. SSA employees and 

State agency employees request the 

medical and educational records 

collected through the ERE website. The 

agency uses the information collected 

through ERE to make a determination on 

an Application for Benefits. We also use 

the ERE website to order and receive 

consultative examinations when we are 

unable to collect enough medical 

records to determine disability findings. 

The respondents are medical providers 

who evaluate or treat disability 

claimants or recipients, and other third 

parties with connections to disability 

applicants or recipients (e.g., teachers 

and school administrators for child 

disability applicants), who voluntarily 

choose to use ERE for submitting 

information. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Total annual 

opportunity 

cost 

(dollars) ** 

ERE ........................................................................................... 6,183,548 1 10 1,030,591 * $33.18 ** $34,195,009 

* We based this figure by averaging both the average Healthcare Practitioners and Technical Occupations (https://www.bls.gov/oes/current/oes290000.htm), and Elementary and Secondary School worker’s hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes250000.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. 

Dated: December 2, 2020. 

Naomi Sipple, 

Reports Clearance Officer, Social Security 

Administration. 

[FR Doc. 2020–26871 Filed 12–7–20; 8:45 am] 

BILLING CODE 4191–02–P 

DEPARTMENT OF STATE 

[Public Notice 11270] 

60-Day Notice of Proposed Information 

Collection: Refugee Biographic Data 

ACTION: Notice of request for public 

comment. 

SUMMARY: The Department of State is 

seeking Office of Management and 

Budget (OMB) approval for the 

information collection described below. 

In accordance with the Paperwork 

Reduction Act of 1995, we are 

requesting comments on this collection 

from all interested individuals and 

organizations. The purpose of this 

notice is to allow 60 days for public 

comment preceding submission of the 

collection to OMB. 

DATES: The Department will accept 

comments from the public up to 

February 8, 2021. 

ADDRESSES: You may submit comments 

by any of the following methods: 

• Web: Persons with access to the 

internet may comment on this notice by 

going to www.Regulations.gov. You can 

search for the document by entering 

‘‘Docket Number: DOS–2020–0052’’ in 

the Search field. Then click the 

‘‘Comment Now’’ button and complete 

the comment form. 

• Email: PRM-Comments@state.gov. 

• Regular Mail: Send written 

comments to: Delicia Spruell, PRM/ 

Admissions, 2025 E Street NW, SA–9, 

8th Floor, Washington, DC 20522–0908. 

• Fax: (202) 453–9393. 

You must include the DS form 

number (if applicable), information 

collection title, and the OMB control 

number in any correspondence. 

FOR FURTHER INFORMATION CONTACT: 

Direct requests for additional 

information regarding the collection 

listed in this notice, including requests 

for supporting documents, to Delicia 

Spruell, (202) 453–9257, PRM/ 

Admissions, 2025 E Street NW, SA–9, 

8th Floor, Washington, DC 20522–0908. 

SUPPLEMENTARY INFORMATION: 

• Title of Information Collection: 

Refugee Biographic Data. 

• OMB Control Number: 1405–0102. 

• Type of Request: Revision of a 

Currently Approved Collection. 

• Originating Office: Bureau of 

Population, Refugees, and Migration, 

Office of Admissions, PRM/A. 

• Form Number: No form. 

• Respondents: Refugee applicants for 

the U.S. Refugee Admissions Program. 

• Estimated Number of Respondents: 

15,000. 

• Estimated Number of Responses: 

10,124. 

• Average Time per Response: 3 

hours. 

• Total Estimated Burden Time: 

30,372 hours. 

• Frequency: Once per respondent. 

• Obligation to Respond: Required to 

obtain a benefit. 

We are soliciting public comments to 

permit the Department to: 

• Evaluate whether the proposed 

information collection is necessary for 

the proper functions of the Department. 

• Evaluate the accuracy of our 

estimate of the time and cost burden for 

this proposed collection, including the 


jbell on DSKJLSW7X2PROD with NOTICES