[Federal Register Volume 86, Number 17 (Thursday, January 28, 2021)]
[Notices]
[Pages 7446-7451]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-01886]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2021-0001]


Agency Information Collection Activities: Proposed Request and 
Comment Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law 104-13, the 
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice 
includes revisions of OMB-approved information collections.
    SSA is soliciting comments on the accuracy of the agency's burden 
estimate; the need for the information; its practical utility; ways to 
enhance its quality, utility, and clarity; and ways to minimize burden 
on respondents, including the use of automated collection techniques or 
other forms of information technology. Mail, email, or fax your 
comments and recommendations on the information collection(s) to the 
OMB Desk Officer and SSA Reports Clearance Officer at the following 
addresses or fax numbers.

(OMB) Office of Management and Budget, Attn: Desk Officer for SSA. 
Comments: https://www.reginfo.gov/public/do/PRAMain. Submit your 
comments online referencing Docket ID Number [SSA-2021-0001].
(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: <a href="/cdn-cgi/l/email-protection#bff0ed91eddacfd0cdcbcc91fcd3dadecdded1dcdaffccccde91d8d0c9"><span class="__cf_email__" data-cfemail="276875097542574855535409644b424655464944426754544609404851">[email protected]</span></a>.

    Or you may submit your comments online through https://www.reginfo.gov/public/do/PRAMain, referencing Docket ID Number [SSA-
2021-0001].
    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 
March 29, 2021. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Modified Benefit Formula Questionnaire--Foreign Pension--0960-
0561. The Social Security Administration (SSA) applies the Windfall 
Elimination Provision, a modified benefit formula used to compute U.S. 
Social Security benefits for people entitled to both Social Security 
and a pension or annuity based on employment after 1956 not covered by 
U.S. Social Security, (i.e., a ``non-covered pension''). A non-covered

[[Page 7447]]

pension is a pension paid by an employer that does not withhold Social 
Security taxes from the employee's salaries; these are typically state 
and local governments or foreign country employers. SSA uses the 
information collected on Form SSA-308 to determine exactly how much (if 
any) of a foreign pension we may use to reduce the amount of Title II 
Social Security retirement or disability benefits under the modified 
benefit formula. Respondents complete Form SSA-308 during the initial 
claims process if they indicate they will receive a foreign pension. A 
claimant who later receives a foreign pension must notify SSA and 
complete the SSA-308 again. The respondents are applicants for Title II 
benefits who are first eligible for a foreign pension after 1985, and 
who are entitled, or will be entitled, to a foreign pension based on an 
application filed with the appropriate foreign agency or employer.
    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-308.................................           2,426               1              10             404          $18.23            * 24     *** $25,048
Greenberg Cases.........................             283               1              60             283           18.23            * 24       *** 7,223
                                         ---------------------------------------------------------------------------------------------------------------
    Totals..............................           2,709  ..............  ..............             687  ..............  ..............      *** 32,271
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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).
** 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.

    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 March 1, 2021. Individuals can obtain copies of 
these OMB clearance packages by writing to 
<a href="/cdn-cgi/l/email-protection#f4bba6daa691849b868087dab798919586959a9791b4878795da939b82"><span class="__cf_email__" data-cfemail="511e037f0334213e2325227f123d343023303f3234112222307f363e27">[email protected]</span></a>.
    1. Partnership Questionnaire--20 CFR 404.1080-404.1082--0960-0025. 
SSA considers partnership income in determining entitlement to Social 
Security benefits. SSA uses information from Form SSA-7104 to determine 
several aspects of eligibility for benefits, including the accuracy of 
reported partnership earnings; the veracity of a retirement; and lag 
earnings where SSA needs this information to determine the status of 
the insured. The respondents are applicants for, and recipients of, 
Title II Social Security benefits who are reporting partnership 
earnings.
    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-7104 (submission via mail)..........           6,175               1              30           3,088        * $25.72  ..............     *** $79,423
SSA-7104 (completed in or brought to a             6,175               1              30           3,088         * 25.72           ** 24     *** 142,951
 field office)..........................
                                         ---------------------------------------------------------------------------------------------------------------
    Totals..............................          12,350  ..............  ..............           6,176  ..............  ..............     *** 222,374
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average U.S. citizen's hourly salary, as reported by the U.S. Bureau of Labor Statistics (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.

    2. Statement of Marital Relationship (By one of the parties)--20 
CFR 404.726--0960-0038. SSA must obtain a signed statement from a 
spousal applicant if the applicant claims a common-law marriage to the 
insured in a state in which such marriages are recognized, and no 
formal marriage documentation exists. SSA uses information we collect 
on Form SSA-754 to determine if an individual applying for spousal 
benefits meets the criteria of common-law marriage under state law. The 
respondents are applicants for spouse's Social Security benefits or 
Supplemental Security Income (SSI) payments.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                           Average
                                                                      Average burden  Estimated total    theoretical      Average wait     Total annual
      Modality of completion          Number of       Frequency of     per response    annual burden     hourly cost     time in field     opportunity
                                     respondents        response        (minutes)         (hours)           amount           office       cost (dollars)
                                                                                                         (dollars) *      (minutes) **         ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-754..........................          30,000                1               30           15,000         * $25.72            ** 24     *** $694,440
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average U.S. citizen's hourly salary, as reported by the U.S. Bureau of Labor Statistics (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.


[[Page 7448]]

    3. Application for Search of Census Records for Proof of Age--20 
CFR 404.716--0960-0097. When preferred evidence of age is not 
available, or the available evidence is not convincing, SSA may ask the 
U.S. Department of Commerce, Bureau of the Census, to search its 
records to establish a claimant's date of birth. SSA collects 
information from claimants using Form SSA-1535 to provide the Census 
Bureau with sufficient identification information to allow an accurate 
search of census records. Additionally, the Census Bureau uses a 
completed, signed SSA-1535 to bill SSA for the search. The respondents 
are applicants for Social Security benefits who need to establish their 
date of birth as a factor of entitlement.
    This is a correction notice: SSA published the incorrect burden 
information for this collection at 85 FR 76142, on 11/27/2020. We are 
correcting this error here.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                           Average
                                                                      Average burden  Estimated total    theoretical      Average wait     Total annual
      Modality of completion          Number of       Frequency of     per response    annual burden     hourly cost     time in field     opportunity
                                     respondents        response        (minutes)         (hours)           amount           office       cost (dollars)
                                                                                                         (dollars) *      (minutes) **         ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-1535.........................              15                1               12                3         * $25.72            ** 24         *** $231
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average U.S. citizen's hourly salary, as reported by the U.S. Bureau of Labor Statistics (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.

    4. Workers' Compensation/Public Disability Questionnaire--20 CFR 
404.408--0960-0247. Section 224 of the Social Security Act (Act) 
provides for the reduction of disability insurance benefits (DIB) when 
the combination of DIB and any workers' compensation (WC) or certain 
Federal, State or local public disability benefits (PDB) exceeds 80 
percent of the worker's pre-disability earnings. SSA field office staff 
conduct in-person interviews with applicants using the electronic SSA-
546 WC/PDB screens in the Modernized Claims System (MCS) to determine 
if the worker's receipt of WC or PDB payments will cause a reduction of 
DIB. The respondents are applicants for the Title II DIB.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                           Average
                                                                      Average burden  Estimated total    theoretical      Average wait     Total annual
      Modality of completion          Number of       Frequency of     per response    annual burden     hourly cost     time in field     opportunity
                                     respondents        response        (minutes)         (hours)           amount           office       cost (dollars)
                                                                                                         (dollars) *      (minutes) **         ***
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-546 (MCS Screens)............         248,000                1               15           62,000           $10.73            ** 24   *** $1,729,676
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments based on SSA's current FY 2020 data (https://www.ssa.gov/legislation/2020Fact%20Sheet.pdf).
** 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.

    5. Supplemental Security Income (SSI) Claim Information Notice--20 
CFR 416.210--0960-0324. Section 1611(e)(2) of the Act requires 
individuals to file for and obtain all payments (annuities, pensions, 
disability benefits, veteran's compensation, etc.) for which they are 
eligible before qualifying for SSI payments. Individuals do not qualify 
for SSI if they do not first apply for all other benefits. SSA uses the 
information on Form SSA-L8050 to verify and establish a claimant's or 
recipient's eligibility under the SSI program. Respondents are SSI 
applicants or recipients who may be eligible for other payments from 
public or private programs.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                            Average
                                                                                       Average burden  Estimated total    theoretical      Total annual
              Modality of completion                   Number of       Frequency of     per response    annual burden     hourly cost      opportunity
                                                      respondents        response        (minutes)         (hours)           amount       cost (dollars)
                                                                                                                          (dollars) *           **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-L8050.........................................          17,044                1               10            2,841         * $10.73       ** $30,484
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average DI payments based on SSA's current FY 2020 data (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.

    6. Medical Source Statement of Ability To Do Work Related 
Activities (Physical and Mental)--20 CFR 404.1512-404.1513, 416.912-
416.913, 404.1517, and 416.917--0960-0662. When a claimant appeals a 
denied disability claim, SSA may ask the claimant to have a 
consultative examination at the agency's expense, if the claimant's 
medical sources cannot, or will not, give the agency sufficient 
evidence to determine whether the claimant is disabled. The medical 
providers who perform these consultative examinations provide a 
statement about the claimant's state of disability. Specifically, these 
medical source statements determine the work-related capabilities of 
these claimants. SSA collects the medical data on the HA-1151 and HA-
1152 to assess the work-related physical and mental capabilities of 
claimants who appeal SSA's previous determination on their issue of 
disability. The respondents are medical sources who provide reports 
based either on existing medical evidence or on consultative 
examinations.

[[Page 7449]]

    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) *         **
--------------------------------------------------------------------------------------------------------------------------------------------------------
HA-1151.................................................           5,000              30              15          37,500        * $40.21   ** $1,507,875
HA-1152.................................................           5,000              30              15          37,500         * 40.21    ** 1,507,875
                                                         -----------------------------------------------------------------------------------------------
    Totals..............................................          10,000  ..............  ..............          75,000  ..............    ** 3,015,750
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on average medical professionals' salaries, as reported by the U.S. Bureau of Labor Statistics (https://www.bls.gov/oes/current/oes290000.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. Objection to Appearing by Video Teleconferencing; 
Acknowledgement of Receipt (Notice of Hearing); Waiver of Written 
Notice of Hearing--20 CFR 404.935, 404.936; 404.938, 404.939, 416.1435, 
416.1436, 416.1438, & 416.1439--0960-0671. SSA uses the information we 
obtain on Forms HA-55, HA-504, HA-504-OP1, HA-510, and HA-510-OP1 to 
manage the means by which we conduct hearings before an administrative 
law judge (ALJ), and the scheduling of hearings with an ALJ. We use the 
HA-55, Objection to Appearing by Video Teleconferencing, and its 
accompanying cover letter, HA-L2, to allow claimants to opt-out of an 
appearance via video teleconferencing (VTC) for their hearing with an 
ALJ. The HA-L2 explains the good cause stipulation for opting out of 
VTC if the claimant misses the window to submit the HA-55, and for 
verifying a new residence address if the claimant moved since 
submitting their initial hearing request. SSA uses the HA-504 and HA-
504-OP1, Acknowledgement of Receipt (Notice of Hearing), and 
accompanying cover letter, HA-L83, to: (1) Acknowledge the claimants 
will appear for their hearing with an ALJ; (2) establish the time and 
place of the hearing; and (3) remind claimants to gather evidence in 
support of their claims. The only difference between the two versions 
of the HA-504 is the language used for the selection check boxes as 
determined by the type of appearance for the hearing (in-person, phone 
teleconference, or VTC). In addition, the cover letter, HA-L83, 
explains: (1) The claimants' need to notify SSA of their wish to object 
to the time and place set for the hearing; (2) the good cause 
stipulation for missing the deadline for objecting to the time and 
place of the hearing; and (3) how the claimants can submit, in writing, 
any additional evidence they would like the ALJ to consider, or any 
objections they have on their claims. The HA-510 and HA-510-OP1, Waiver 
of Written Notice of Hearing, allow the claimants to waive their right 
to receive the Notice of Hearing as specified in the HA-L83. We 
typically use these forms when there is a last minute available opening 
on an ALJ's schedule, so the claimants can fill in the available time 
slot. If the claimants agree to fill the time slot, we ask them to 
waive their right to receive the Notice of Hearing. We use the HA-510-
OP1 at the beginning of our process for representatives and claimants 
who wish to waive the 20-day (for amended or continued hearing notices) 
or 75-day (for all other hearing notices) requirement earlier in the 
process, and the HA-510 later in the process for those representatives 
and claimants who want the full 20 or 75 days before the scheduled 
hearing. The respondents are applicants for Social Security disability 
payments who request a hearing to appeal an unfavorable entitlement or 
eligibility determination or their representative payees.
    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) *          **
--------------------------------------------------------------------------------------------------------------------------------------------------------
HA-504+ HA-504-OP1 HA-504-OP2..........................         900,000               1              30         450,000        * $18.22    ** $8,199,000
HA-L83--404.936(e); 416.1436(e)........................         900,000               1              30         450,000         * 18.22     ** 8,199,000
HA-L83--Good cause for missing deadline--404.936(e)(1);           5,000               1               5             417         * 18.22         ** 7,598
 416.1436(e)(1)........................................
HA-L83--Objection stating issues in notice are                   45,000               1               5           3,750         * 18.22        ** 68,325
 incorrect--sent 5 days prior to hearing 404.939;
 416.1439..............................................
HA-55--404.936; 404.938; 416.1436; 416.1438............         850,000               1               5          70,833         * 18.22     ** 1,290,577
HA-L2--Verification of New Residence 404.936(c)(1);              45,000               1               5           3,750         * 18.22        ** 68,325
 416.1436(d)(1)........................................
HA-L2--Notification of objection to video                        13,500               1              10           2,250         * 18.22        ** 40,995
 teleconference more than 30-days after receipt of
 notice showing good cause 404.936(c)(2);
 416.1436(d)(2)........................................
HA-510; HA-510-OP1--404.938(a); 416.1438(a)............           4,000               1               2             133         * 18.22         ** 2,423
                                                        ------------------------------------------------------------------------------------------------
    Totals.............................................       2,762,500  ..............  ..............         981,133  ..............    ** 17,876,243
--------------------------------------------------------------------------------------------------------------------------------------------------------
+ Due to the COVID-19 pandemic, we are currently not conducting hearings in person with administrative law judges. We are holding all hearings with the
  administrative law judges by telephone and online video while offices remain closed to walk-in traffic. We are using different versions of the HA-504
  depending on the format of the hearing (HA-504 is used for in-person/traditional VTC, HA-504-OP1 is used for phone, HA-504-OP2 is used for online
  video). At this time, we are unable to provide an accurate breakdown of their usages individually until offices reopen. The combined total for all of
  the versions is a good estimate.


[[Page 7450]]

Public Reporting Burdens for the Temporary COVID-19 Enhanced Outreach 
(CEO)

    We estimate a total universe of approximately 560,000 respondents 
for the COVID-19 Enhanced Outreach (CEO) project. This number 
represents 280,000 cases in ``Ready to Schedule'' (RTS) and 
``Scheduled'' (SCHD) statuses with attorney or non-attorney 
representatives, plus a courtesy copy to the claimant. We will also 
conduct a follow-up call for cases without a returned form. We expect 
25% or less will be non-responsive. The numbers on this chart reflect 
our estimates for this outreach project:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                             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) *          **
--------------------------------------------------------------------------------------------------------------------------------------------------------
CEO Letter and Form Mailed to Representative...........         280,000               1              10          46,667        * $25.72    ** $1,200,275
Courtesy Copy of CEO Letter to Claimant................         280,000     No response               2           9,333         * 25.72       ** 240,045
                                                                               required
CEO Follow up Call with Representative--no form                  70,000               1               5           5,833         * 25.72       ** 150,025
 returned (non-responsive).............................
                                                        ------------------------------------------------------------------------------------------------
    Totals.............................................         630,000  ..............  ..............          61,833  ..............     ** 1,590,345
                                                        ------------------------------------------------------------------------------------------------
        Grand Total....................................       3,392,500  ..............  ..............       1,042,966  ..............    ** 19,466,588
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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).
** 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. Medicare Subsidy Quality Review Forms--20 CFR 418.3125(b)(5)--
0960-0707. The Medicare Modernization Act of 2003 mandated the creation 
of the Medicare Part D prescription drug coverage program and provides 
certain subsidies for eligible Medicare beneficiaries to help pay for 
the cost of prescription drugs. As part of the stewardship duties of 
the Medicare Part D subsidy program, SSA conducts periodic quality 
reviews of the information Medicare beneficiaries report on their 
subsidy applications (Form SSA-1020). SSA uses the Medicare Quality 
Review program to conduct these checks. The respondents are applicants 
for the Medicare Part D subsidy whom SSA chose to undergo a quality 
review.
    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-9301 (Medicare Subsidy Quality Review Case Analysis            3,500               1              30           1,750        * $25.72      ** $45,010
 Form...................................................
SSA-9302 (Notice of Quality Review Acknowledgment Form             3,500               1              15             875         * 25.72       ** 22,505
 for those with Phones).................................
SSA-9303 (Notice of Quality Review Acknowledgment Form               350               1              15              88         * 25.72        ** 2,263
 for those without Phones)..............................
SSA-9308 (Request for Information)......................           7,000               1              15           1,750         * 25.72       ** 45,010
SSA-9310 (Request for Documents)........................           3,500               1               5             292         * 25.72        ** 7,510
SSA-9311 (Notice of Appointment--Denial--Reviewer Will               450               1              15             113         * 25.72        ** 2,906
 Call)..................................................
SSA-9312 (Notice of Appointment--Denial--Please Call                  50               1              15              13         * 25.72          ** 334
 Reviewer)..............................................
SSA-9313 (Notice of Quality Review acknowledgment Form             2,500               1              15             625         * 25.72       ** 16,075
 for those with Phones).................................
SSA-9314 (Notice of Quality Review acknowledgement Form              500               1              15             125         * 25.72        ** 3,215
 for those without Phones)..............................
                                                         -----------------------------------------------------------------------------------------------
    Total...............................................          21,350  ..............  ..............           5,631  ..............      ** 144,828
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figures on average U.S. citizen's hourly salary, 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.

    9. Application to Collect a Fee for Payee Services--20 CFR 
404.2040a & 416.640a--0960-0719. Sections 205(j) and 1631(a) of the Act 
allow SSA to authorize certain organizational representative payees to 
collect a fee for providing payee services. Before an organization may 
collect this fee, they complete and submit Form SSA-445. SSA uses the 
information to determine whether to authorize or deny permission to 
collect fees for payee services. The respondents are private sector 
businesses, or State and local government offices, applying to become a 
fee-for-service organizational representative payee.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 7451]]



--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                              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) *         **
--------------------------------------------------------------------------------------------------------------------------------------------------------
Private sector business.................................              90               1              13              20        * $15.37         ** $307
State/local government offices..........................              10               1              10               2         * 15.07           ** 30
                                                         -----------------------------------------------------------------------------------------------
    Totals..............................................             100  ..............  ..............              22  ..............          ** 337
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average Personal Care and Service Occupations hourly wages (https://www.bls.gov/oes/current/oes390000.htm), as reported by
  Bureau of Labor Statistics 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.

    10. Certification of Low Birth Weight for SSI Eligibility--20 CFR 
416.924, 416.926, and 416.931--0960-0720. Hospitals and claimants use 
Form SSA-3380 to provide medical information to local field offices 
(FO) and the Disability Determination Services (DDS) on behalf of 
infants with low birth weight. FOs use the form as a protective filing 
statement and the medical information to make presumptive disability 
findings, which allow expedited payment to eligible claimants. DDSs use 
the medical information to determine disability and continuing 
disability. The respondents are hospitals and claimants who have 
information identifying low birth weight babies and their medical 
conditions.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                           Average
                                                                                      Average burden  Estimated total    theoretical      Total annual
              Modality of completion                  Number of       Frequency of     per response    annual burden     hourly cost    opportunity cost
                                                     respondents        response        (minutes)         (hours)           amount        (dollars) **
                                                                                                                         (dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-3380.........................................          28,125                1               15            7,031         * $61.97       ** $435,711
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure by averaging the average U.S. worker's (https://www.bls.gov/oes/current/oes_nat.htm) and General Medical Hospital employee's
  hourly wages (https://www.bls.gov/oes/current/oes291215.htm), as reported by Bureau of Labor Statistics 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.

    11. Electronic Records Express (Third Parties)--20 CFR 404.1700-
404.1715--0960-0767. Electronic Records Express (ERE) is an online 
system which enables medical providers and various third party 
representatives to electronically access clients' disability files 
online and submit disability claimant information electronically to SSA 
as part of the disability application process. To ensure only 
authorized people access ERE, SSA requires third parties to complete a 
unique registration process if they wish to use this system. This 
information collection request (ICR) includes the third-party 
registration process; the burden for submitting evidence to SSA is part 
of other ICRs. The respondents are representatives of disability 
applicants who want to use ERE to electronically access clients' 
disability files online and submit information to SSA.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                           Average
                                                                                      Average burden  Estimated total    theoretical      Total annual
              Modality of completion                  Number of       Frequency of     per response    annual burden     hourly cost    opportunity cost
                                                     respondents        response        (minutes)         (hours)           amount        (dollars) **
                                                                                                                         (dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
ERE Third-Party..................................          37,314               81                1           50,374         * $59.11     ** $2,977,607
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figures on average Lawyer's hourly salary, 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.


    Dated: January 25, 2021.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2021-01886 Filed 1-27-21; 8:45 am]
BILLING CODE 4191-02-P


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