[Federal Register Volume 87, Number 100 (Tuesday, May 24, 2022)]
[Notices]
[Pages 31598-31603]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-11124]


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SOCIAL SECURITY ADMINISTRATION

[Docket No SSA-2022-0022]


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 one new collection 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, 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-2022-0022].
    (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#672835493502170815131449240b020615060904022714140649000811"><span class="__cf_email__" data-cfemail="2b647905794e5b44595f580568474e4a594a45484e6b58584a054c445d">[email protected]</span></a>, 
Or you may submit your comments online through https://www.reginfo.gov/public/do/PRAMain, referencing Docket ID Number [SSA-2022-0022].
    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 July 
25, 2022. Individuals can obtain copies of the collection instrument by 
writing to the above email address.
    Enterprise Scheduling System (ESS)--0960-NEW. The Enterprise 
Scheduling System (ESS) will provide a better respondent and employee 
experience. The first ESS release is specific to allowing self-
scheduling for enumeration services. ESS subsequent releases will 
expand services for other appointment needs. Through ESS respondent 
self-scheduling and technician scheduling, SSA will collect specific 
information about respondents (e.g., respondent: Name, address, zip 
code, telephone number, and email address). In addition, we ask the 
respondent to consent to receive optional electronic messaging or opt 
out; electronic message preference (email/text), if respondents provide 
consent; language preferences (English/Spanish); respondent's preferred 
office to receive service; and appointment (day and time preference) to 
schedule an in-office appointment to process a request for an original 
SSN or replacement Social Security card. In addition, we will ask 
respondents scheduling their initial appointment through a technician 
to create a one-time passcode to securely allow online updates to their 
appointment. The technician will document the one-time passcode with 
the respondent's other appointment preferences. Respondents will use 
ESS to complete required screens and fields to select a date and time 
for an appointment at an SSA field office (FO) to provide the proofs 
necessary to obtain a replacement or original SSN card. Respondents can 
complete the online collection themselves. If respondents encounter 
issues with ESS, they may contact SSA by phone to complete scheduling 
the appointment through a technician. We will integrate ESS with VIPr 
Mobile check-in functions, so ESS respondents will have the option to 
check-in for their appointment using Mobile check-in on their personal 
device, instead of checking in at the kiosk. Using VIPr, SSA employees 
can request walk-in visitors and individuals with appointments to come 
into the office. The respondents are individuals looking to schedule 
their own SSA visit using ESS.
    Type of Request: Request for a new information collection.

[[Page 31599]]



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                                                                                                            Average      Average wait
                                                                            Average        Estimated      theoretical      time for       Total annual
        Modality of completion             Number of     Frequency of     burden per     total annual     hourly cost     teleservice   opportunity cost
                                          respondents      response        response         burden          amount          centers       (dollars) ***
                                                                           (minutes)        (hours)       (dollars) *    (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
ESS--Internet.........................       3,000,000               1               3         150,000        * $19.86  ..............    *** $2,979,000
ESS--Technician.......................         150,000               1               3           7,500         * 19.86           ** 19     *** 1,092,300
                                       -----------------------------------------------------------------------------------------------------------------
    Totals............................       3,150,000  ..............  ..............         157,500  ..............  ..............     *** 4,071,300
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure by averaging both the average DI payments based on SSA's current FY 2022 data (https://www.ssa.gov/legislation/2022factsheet.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 2022 wait times for 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.

    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 June 23, 2022. Individuals can obtain copies of 
these OMB clearance packages by writing to 
<a href="/cdn-cgi/l/email-protection#703f225e2215001f0204035e331c151102111e1315300303115e171f06"><span class="__cf_email__" data-cfemail="4e011c601c2b3e213c3a3d600d222b2f3c2f202d2b0e3d3d2f60292138">[email protected]</span></a>.
    1. Certificate of Responsibility for Welfare and Care of Child Not 
in Applicant's Custody--20 CFR 404.330, 404.339-404.341 and 404.348-
404.349--0960-0019. SSA uses Form SSA-781 to determine if non-custodial 
parents who file for spouse, mother's, father's, or surviving divorced 
mother's or father's benefits based on having a child in their care, 
meet the child-in-care requirements. The child-in-care provision 
requires claimants to have an entitled child under age 16 or disabled 
in their care. The respondents are applicants for spouse's, mother's, 
father's, or surviving divorced mother's or father's Social Security 
benefits.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                         Average wait
                                                                            Average        Estimated        Average      time in field
                                           Number of     Frequency of     burden per     total annual     theoretical    office or for    Total annual
        Modality of completion            respondents      response        response         burden        hourly cost     teleservice   opportunity cost
                                                                           (minutes)        (hours)         amount          centers       (dollars) ***
                                                                                                          (dollars) *    (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-781...............................             390               1               5              33        * $28.01           ** 21        *** $4,762
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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 by averaging the average FY 2022 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.

    2. Child Relationship Statement--20 CFR 404.355 and 404.731--0960-
0116. To help determine a child's entitlement to Social Security 
benefits, SSA uses criteria under Section 216(h)(3) of the Social 
Security Act (Act), deemed child provision. SSA may deem a child to an 
insured individual if: (1) The insured individual presents SSA with 
satisfactory evidence of parenthood, and was living with or 
contributing to the child's support at certain specified times; or (2) 
the insured individual: (a) Acknowledged the child in writing; (b) was 
court decreed as the child's parent; or (c) was court ordered to 
support the child. To obtain this information, SSA uses Form SSA-2519, 
Child Relationship Statement. The respondents are people with knowledge 
of the relationship between certain individuals filing for Social 
Security benefits and their alleged biological children.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                         Average wait
                                                                            Average        Estimated        Average      time in field
                                           Number of     Frequency of     burden per     total annual     theoretical    office or for    Total annual
        Modality of completion            respondents      response        response         burden        hourly cost     teleservice   opportunity cost
                                                                           (minutes)        (hours)         amount          centers       (dollars) ***
                                                                                                          (dollars) *    (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-2519..............................           4,981               1              15           1,245        * $28.01           ** 21       *** $83,694
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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 by averaging the average FY 2022 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. Pre-1957 Military Service Federal Benefit Questionnaire--20 CFR 
404.1301-404.1371--0960-0120. SSA may grant gratuitous military wage 
credits for active military or naval service (under certain conditions) 
during the period September 16, 1940 through December 31, 1956, if no 
other Federal agency (other than the Veterans Administration) credited 
the service for benefit eligibility or computation purposes. We use 
Form SSA-2512 to collect specific information about other Federal, 
military, or civilian benefits the wage earner may receive when the 
applicant indicates both pre-1957 military service and the receipt of a 
Federal benefit. SSA uses the data in the claims adjudication process 
to grant gratuitous military wage credits when applicable, and to 
solicit sufficient

[[Page 31600]]

information to determine eligibility. Respondents are applicants for 
Social Security benefits on a record where the wage earner claims pre-
1957 military service.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                            Average
                                                                            Average        Estimated      theoretical    Average wait     Total annual
        Modality of completion             Number of     Frequency of     burden per     total annual     hourly cost    time in field  opportunity cost
                                          respondents      response        response         burden          amount          office        (dollars) ***
                                                                           (minutes)        (hours)       (dollars) *    (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-2512..............................           5,000               1              10             833        * $28.01           ** 24       *** $79,352
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes_nat.htm).
** We based this figure on the average FY 2022 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. Authorization for the Social Security Administration to Obtain 
Account Records from a Financial Institution--20 CFR 416.200, 416.203, 
416.207, 404.508, and 416.553--0960-0293. SSA collects and verifies 
financial information from individuals applying for Title II and Title 
XVI waiver determinations, as well as those who apply for, or currently 
receive (in the case of redetermination), Supplemental Security Income 
(SSI) payments. We require the financial information from these 
applicants to: (1) Determine the eligibility of the applicant or 
recipient for SSI benefits; or (2) determine if a request to waive a 
Social Security overpayment defeats the purpose of the Act. If the 
Title II and Title XVI waiver applicants, or the SSI claimants provide 
incomplete, unavailable, or seemingly altered records, SSA contacts 
their financial institutions to verify the existence, ownership, and 
value of accounts owned. Financial institutions need individuals to 
sign Form SSA-4641, or work with SSA staff to complete one of SSA's 
electronic applications, e4641 or the Access to Financial Institutions 
(AFI) screens, to authorize the individual's financial institution to 
disclose records to SSA. The respondents are Title II and Title XVI 
recipients applying for waivers, or SSI applicants, recipients, and 
their deemors to determine SSI eligibility.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                            Average
                                                                            Average        Estimated      theoretical    Average wait     Total annual
        Modality of completion             Number of     Frequency of     burden per     total annual     hourly cost    time in field  opportunity cost
                                          respondents      response        response         burden          amount          office       (dollars) *****
                                                                           (minutes)        (hours)      (dollars) ***  (minutes) ****
--------------------------------------------------------------------------------------------------------------------------------------------------------
Individuals (Paper and Internet) *....    ** 1,565,000               1               4         104,333      *** $19.86         **** 24             *****
                                                                                                                                             $14,504,413
Financial Institutions (Paper                   90,000               1               6           9,000       *** 19.86  ..............     ***** 178,740
 SSA[dash]4641).......................
Financial Institutions (Internet e4641      14,575,000               1               2         485,833       *** 19.86  ..............   ***** 9,648,643
 or AFI)..............................
                                       -----------------------------------------------------------------------------------------------------------------
    Totals............................      16,230,000  ..............  ..............         599,166  ..............  ..............  ***** 24,331,796
--------------------------------------------------------------------------------------------------------------------------------------------------------
* This includes individuals completing the form to provide their authorization for purposes of determining SSI eligibility as well as individuals
  providing their authorization for purposes of a waiver determination.
** This likely is an overestimate because individuals providing their authorization for purposes of a waiver determination may, alternatively, provide
  their authorization using another form, the SSA-632, but we do not have readily-available MI on how many individuals use that form instead of the SSA-
  4641.
*** We based this figure by averaging both the average DI payments based on SSA's current FY 2022 data (https://www.ssa.gov/legislation/2022factsheet.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 2022 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. Vocational Rehabilitation Provider Claim--20 CFR 404.2101(a), 
404.2108(b), 404.2117(c)(1)&(2), 404.2121(a), 416.2208(b), 
416.2217(c)(1)&(2), 416.2201(a), and 416.2221(a)--0960-0310. State 
vocational rehabilitation (VR) agencies submit Form SSA-199 to SSA to 
obtain reimbursement of costs incurred for providing VR services. SSA 
requires state VR agencies to submit reimbursement claims for the 
following categories: (1) Claiming reimbursement for VR services 
provided; (2) certifying adherence to cost containment policies and 
procedures; and (3) preparing causality statements. The respondents 
provide the information requested through a web-based Secure Ticket 
Portal, in lieu of submitting forms. This Portal allows VRs to retrieve 
reports, and enter and submit information electronically, minimizing 
the use of the paper form to SSA for consideration and approval of the 
claim for reimbursement of costs incurred for SSA beneficiaries. SSA 
uses the information on the SSA-199, along with the written 
documentation, to determine whether, and how much, to pay State VR 
agencies under SSA's VR program. Respondents are State VR agencies 
offering vocational and employment services to Social Security and SSI 
recipients.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                            Average
                                                                                            Average        Estimated      theoretical     Total annual
        Modality of completion             Number of     Frequency of      Number of      burden per     total annual     hourly cost   opportunity cost
                                          respondents      response        responses       response         burden          amount         (dollars) **
                                                                                           (minutes)        (hours)       (dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
a. Claiming Reimbursement on SSA-199--              77             303          23,331              23           8,944        * $16.02       ** $143,283
 20 CFR 404.2108(b) & 416.2208(b).....

[[Page 31601]]

 
b. Certifying Adherence to Cost                     77               1              77              60              77         * 16.02          ** 1,234
 Containment Policy and Procedures--20
 CFR 404.2117(c)(1)&(2),
 416.2217(c)(1)&(2) & 34 CFR 361......
c. Preparing Causality Statements--20               77             2.5             193             100             322         * 16.02          ** 5,158
 CFR 404.2121(a), 404.2101(a),
 416.2201(a), & 416.2221(a)...........
                                       -----------------------------------------------------------------------------------------------------------------
    Totals............................             231  ..............  ..............  ..............           9,343  ..............        ** 149,675
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average Healthcare Support Occupations, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes310000.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.

    6. Request for Change in Time/Place of Disability Hearing--20 CFR 
404.914(c)(2) and 416.1414(c)(2)--0960-0348. At the request of the 
claimants or their representatives, SSA schedules evidentiary hearings 
at the reconsideration level for claimants of Title II benefits or 
Title XVI payments when we deny their claims for disability. When 
claimants or their representatives find they are unable to attend the 
scheduled hearing, they complete Form SSA-769 to request a change in 
time or place of the hearing. SSA uses the information from the form as 
a basis for granting or denying requests for changes and for 
rescheduling disability hearings. Respondents are claimants or their 
representatives who wish to request a change in the time or place of 
their hearing.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                            Average
                                                                                            Average        Estimated      theoretical     Total annual
                Modality of completion                     Number of     Frequency of     burden per     total annual     hourly cost   opportunity cost
                                                          respondents      response        response         burden          amount         (dollars) **
                                                                                           (minutes)        (hours)       (dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-769...............................................          41,440               1               8           5,525        * $19.86       ** $109,727
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure by averaging both the average DI payments based on SSA's current FY 2022 data (https://www.ssa.gov/legislation/2022factsheet.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).
** 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. Notice Regarding Substitution of Party Upon Death of Claimant--
Reconsideration of Disability Cessation--20 CFR 404.907-404.921 and 
416.1407-416.1421--0960-0351. When a claimant dies before we make a 
determination on that person's request for reconsideration of a 
disability cessation, SSA seeks a qualified substitute party to pursue 
the appeal. If SSA locates a qualified substitute party, the agency 
uses Form SSA-770 to collect information about whether to pursue or 
withdraw the reconsideration request. We use this information as the 
basis for the decision to continue or discontinue with the appeals 
process. Respondents are substitute applicants who are pursuing a 
reconsideration request for a deceased claimant.
    Type of Request: Revision of an OMB-approved information 
collection.

 
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                            Average
                                                                                            Average        Estimated      theoretical     Total annual
                Modality of completion                     Number of     Frequency of     burden per     total annual     hourly cost   opportunity cost
                                                          respondents      response        response         burden          amount         (dollars) **
                                                                                           (minutes)        (hours)       (dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-770...............................................             384               1               5              32        * $28.01           ** $896
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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.

    8. Appointment of Representative--20 CFR 404.1707, 404.1720, 
408.1101, 416.1507, and 416.1520--0960-0527. Individuals claiming 
rights or benefits under the Act must notify SSA in writing when they 
appoint an individual to represent them in dealing with SSA. In 
addition, as part of SSA's regulations, SSA requires representatives 
who are not attorneys to sign the written notice of appointment. SSA 
does not require attorneys acting as representatives to sign the notice 
of appointment. Respondents can use Form SSA-1696, or the submittable 
electronic version, e1696, to appoint a representative to handle their 
claim before SSA and name their principal representative, and their 
selected representative(s) can use the SSA-1696 or e1696 to indicate 
whether they will charge a fee, and to show their eligibility for 
direct fee payment. In addition, representatives also use the SSA-1696 
or e1696 to inform SSA of their disbarment; suspension from a court or 
bar in which they previously admitted to practice; or their 
disqualification from participating in or appearing before a Federal 
program or

[[Page 31602]]

agency. SSA uses the information on the SSA-1696 or e1696 to document 
the appointment of the representative, and we recognize the individual 
named in the notice of appointment the claimant signed and filed at an 
SSA office, or through our submittable portal, as the claimant's 
representative. We also use this form to collect the representative's 
business affiliation and employment identification number. In addition, 
respondents use the SSA-1696-SUP1 to revoke their appointment of a 
representative, and representatives use the SSA-1696-SUP2 to withdraw 
their acceptance of the appointment. SSA uses the information on the 
SSA-1696-SUP1 and SSA-1696-SUP2 to document the revocation and 
withdrawal of a representative. Respondents are applicants for, or 
recipients of, Social Security disability benefits (SSDI); SSI 
payments; or anyone pursuing a benefit or invoking a right under SSA 
programs, who are notifying SSA they have appointed someone to 
represent them in their dealings with SSA; any non-attorney 
representatives who need to sign the form; as well as individuals 
revoking their appointment of representative, and their 
representatives' withdrawal of their acceptance of an appointment.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                            Average
                                                                                            Average        Estimated      theoretical     Total annual
                Modality of completion                     Number of     Frequency of     burden per     total annual     hourly cost   opportunity cost
                                                          respondents      response        response         burden          amount         (dollars) **
                                                                                           (minutes)        (hours)       (dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-1696; e1696.......................................       1,100,000               1              12         220,000        * $73.86    ** $16,249,200
SSA-1696-SUP1.........................................           5,505               1               5             459         * 11.70          ** 5,370
SSA-1696-SUP2.........................................         254,825               1               5          21,235         * 73.86      ** 1,568,417
                                                       -------------------------------------------------------------------------------------------------
    Totals............................................       1,360,330  ..............  ..............         241,694  ..............     ** 17,822,987
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based these figures on average Legal Service lawyer's hourly salary, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes231011.htm) and the average DI payments based on SSA's current FY 2022 data (https://www.ssa.gov/legislation/2022factsheet.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.

    9. Work Incentives Planning and Assistance Program--0960-0629. As 
part of SSA's strategy to assist SSDI beneficiaries and SSI recipients 
who wish to return to work and achieve self-sufficiency, SSA 
established the Work Incentives Planning and Assistance (WIPA) program. 
This community based, work incentive, planning and assistance project 
collects identifying claimant information via project sites and 
community work incentives coordinators (CWIC). SSA uses this 
information to ensure proper management of the project, with particular 
emphasis on administration, budgeting, and training. SSA uses Form SSA-
4565 (WIPA Intake Information) to collect data from SSDI beneficiaries 
and SSI recipients on background employment, training, benefits, and 
work incentives. CWIC use Form SSA-4566 (WIPA Notes) to create a case 
note to record actions taken for a beneficiary. CWIC will use the WIPA 
Star System which is a new management and reporting system that allows 
the CWIC to: (1) Provide SSA with information provided on Form SSA-
4565, and additional information on beneficiaries served under the WIPA 
program; (2) to manage their case notes for beneficiaries; and (3) to 
collect additional information not collected on Forms SSA-4565 and SSA-
4566 which allows SSA to monitor WIPA grantee's performance and 
progress. The respondents are SSDI beneficiaries, SSI recipients, 
community project sites, and community work incentives coordinators.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                            Average
                                                           Number of     Frequency of     burden per     Annual burden    Hourly cost   Opportunity cost
                Modality of completion                    respondents      response        response         (hours)         amount         (dollars) **
                                                                                           (minutes)                      (dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-4565..............................................          32,000               1              25          13,333        * $16.29       ** $217,195
SSA-4566..............................................             360             890               2          10,680         * 16.29        ** 173,977
WIPA STAR System......................................             720           1,869              20         448,560         * 16.29      ** 7,307,042
                                                       -------------------------------------------------------------------------------------------------
    Totals............................................          33,080  ..............  ..............         472,573  ..............      ** 7,698,214
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average DI payments based on SSA's current FY 2022 data (https://www.ssa.gov/legislation/2022factsheet.pdf); and the
  average Office and Administrative Support hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes430000.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.

    10. Internet Direct Deposit Application--31 CFR 210--0960-0634. SSA 
requires all applicants and recipients of Social Security Old Age, 
Survivors, and Disability Insurance (OASDI) benefits, or SSI payments 
to receive these benefits and payments via direct deposit, at a 
financial institution. SSA receives Direct Deposit/Electronic Funds 
Transfer (DD/EFT) enrollment information from OASDI beneficiaries and 
SSI recipients to facilitate DD/EFT of their funds, with their chosen 
financial institution. We also use this information when an enrolled 
individual wishes to change their DD/EFT information. For the 
convenience of the respondents, we collect this information through 
several modalities, including an internet application, in-office or 
telephone interviews, and our automated telephone system. In addition 
to using the direct deposit information to enable DD/EFT of funds to 
the recipient's chosen financial institution, we also use the 
information through our Direct Deposit Fraud Indicator, to ensure the 
correct recipient receives the funds. Respondents are OASDI 
beneficiaries and SSI recipients requesting that we enroll them in the 
Direct Deposit program, or change their direct deposit banking 
information.
    Type of Request: Revision of an OMB-approved information 
collection.

[[Page 31603]]



--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                            Average
                                                                                            Average        Estimated      theoretical     Total annual
                Modality of completion                     Number of     Frequency of     burden per     total annual     hourly cost   opportunity cost
                                                          respondents      response        response         burden          amount         (dollars) **
                                                                                           (minutes)        (hours)       (dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
Internet DD...........................................         683,397               1              10         113,900        * $19.86     ** $2,262,054
Non-Electronic Services (FO, 800#-ePath, SSI Claims          2,557,048               1              12         511,410         * 19.86     ** 10,156,603
 System, SPS, MACADE, POS, RPS).......................
Direct Deposit Fraud Indicator........................          30,531               1               2           1,018         * 19.86         ** 20,217
                                                       -------------------------------------------------------------------------------------------------
    Totals............................................       3,270,976  ..............  ..............         626,328  ..............     ** 12,438,874
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure by averaging both the average DI payments based on SSA's current FY 2022 data (https://www.ssa.gov/legislation/2022factsheet.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).
** This figure does not represent actual costs that SSA is imposing on claimants 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. International Direct Deposit--31 CFR 210--0960-0686. SSA's 
International Direct Deposit (IDD) Program allows beneficiaries living 
abroad to receive their payments via direct deposit to an account at a 
financial institution outside the United States. SSA uses Form SSA-
1199-(Country) to enroll Title II beneficiaries residing abroad in IDD, 
and to obtain the direct deposit information for foreign accounts. 
Routing account number information varies slightly for each foreign 
country, so we use a variation of the Treasury Department's Form SF-
1199A for each country. The respondents are Social Security 
beneficiaries residing abroad who want SSA to deposit their Title II 
benefit payments directly to a foreign financial institution.
    Type of Request: Revision of an OMB-approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                            Average
                                                                                            Average        Estimated      theoretical     Total annual
                Modality of completion                     Number of     Frequency of     burden per     total annual     hourly cost   opportunity cost
                                                          respondents      response        response         burden          amount        (dollars) **
                                                                                           (minutes)        (hours)       (dollars) *
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-1199-(Country)....................................         449,274               1               5          37,440        * $28.01     ** $1,048,694
--------------------------------------------------------------------------------------------------------------------------------------------------------
* 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.

    12. Request for Reinstatement (Title XVI)--20 CFR 416.999-
416.999d--0960-0744. SSA uses Form SSA-372 to: (1) Inform previously 
entitled beneficiaries of the expedited reinstatement (EXR) 
requirements of SSI payments under Title XVI of the Act; and (2) 
document their requests for EXR. SSA requires this application for 
reinstatement of benefits for respondents to obtain SSI disability 
payments for EXR. When an SSA claims representative learns of 
individuals whose medical conditions no longer permit them to perform 
substantial gainful activity as defined in the Act, the claims 
representative gives the form to the previously entitled individuals 
(or mails it to those who request EXR over the phone). SSA employees 
collect this information whenever an individual files for EXR benefits. 
The respondents are applicants for EXR of SSI disability payments.
    Type of Request: Revision of an OMB approved information 
collection.

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                            Average
                                                                            Average        Estimated      theoretical    Average wait     Total annual
        Modality of completion             Number of     Frequency of     burden per     total annual     hourly cost    time in field  opportunity cost
                                          respondents      response        response         burden          amount          office        (dollars) ***
                                                                           (minutes)        (hours)       (dollars) *    (minutes) **
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSA-372...............................           2,000               1               5             167          $11.70           ** 24       *** $11,314
--------------------------------------------------------------------------------------------------------------------------------------------------------
* We based this figure on the average DI payments based on SSA's current FY 2022 data (https://www.ssa.gov/legislation/2022factsheet.pdf).
** We based this figure on the average FY 2022 wait time for teleservice centers, based on SSA's current management information data.
*** This figure does not represent actual costs that SSA is imposing on claimants 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: May 19, 2022.
Naomi Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2022-11124 Filed 5-23-22; 8:45 am]
BILLING CODE 4191-02-P


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