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Federal Register / Vol. 86, No. 159 / Friday, August 20, 2021 / Notices SSA is soliciting comments on the accuracy of the agencys burden Non-Profit Organizations withestimate; the need for the information;
out Credit Available Elseits practical utility; ways to enhance its where
2.000 quality, utility, and clarity; and ways to minimize burden on respondents, The number assigned to this disaster including the use of automated for physical damage is 17087 B and for collection techniques or other forms of economic injury is 17088 0.
information technology. Mail, email, or Catalog of Federal Domestic Assistance fax your comments and Number 59008
recommendations on the information collections to the OMB Desk Officer James Rivera, and SSA Reports Clearance Officer at Associate Administrator for Disaster the following addresses or fax numbers.
Assistance.
OMB Office of Management and FR Doc. 202117871 Filed 81921; 8:45 am Budget, Attn: Desk Officer for SSA
BILLING CODE 802603P
Comments: https www.reginfo.gov/
public/do/PRAMain. Submit your comments online referencing Docket ID
SOCIAL SECURITY ADMINISTRATION
Number SSA20210024.
Docket No: SSA20210024
SSA Social Security Administration, OLCA, Attn: Reports Clearance Agency Information Collection Director, 3100 West High Rise, 6401
Activities: Proposed Request and Security Blvd., Baltimore, MD 21235, Comment Request Fax: 4109662830, Email address:
OR.Reports.Clearance@ssa.gov The Social Security Administration SSA publishes a list of information Or you may submit your comments collection packages requiring clearance online through https www.reginfo.gov/
by the Office of Management and public/do/PRAMain, referencing Docket Budget OMB in compliance with ID Number SSA20210024.
Public Law 10413, the Paperwork I. The information collections below Reduction Act of 1995, effective October are pending at SSA. SSA will submit 1, 1995. This notice includes revisions them to OMB within 60 days from the and extensions of OMB-approved date of this notice. To be sure we information collections.
consider your comments, we must Percent
Number of respondents
Modality of completion
Average burden per response minutes
Frequency of response
Estimated total annual burden hours
receive them no later than October 19, 2021. Individuals can obtain copies of the collection instruments by writing to the above email address.
1. Request for Waiver of Overpayment Recovery and Request for Change in Overpayment Recovery Rate20 CFR
404.502, 404.506404.512, 416.550
416.558, 416.570416.57109600037.
When Social Security beneficiaries and Supplemental Security Income SSI
recipients receive an overpayment, they must return the extra money. These beneficiaries and recipients can use Form SSA632BK, Request for Waiver of Overpayment Recovery, to request a waiver from repaying their overpayment. Beneficiaries and recipients can also use Form SSA634, Request for Change in Overpayment Recovery Rate, to request a change to the monthly recovery rate of their overpayment. The respondents must provide financial information to help the agency determine how much the overpaid person can afford to repay each month. The respondents are individuals who are overpaid Social Security or SSI payments who are requesting: 1 A waiver of recovery of an overpayment, or 2 a lesser rate of withholding.
Type of Request: Revision of an OMBapproved information collection.
Average wait time in field office or for teleservice centers minutes
Average theoretical hourly cost amount dollars
Total annual opportunity cost dollars
SSA632Request for Waiver of Overpayment Recovery If completing entire paper form, including the AFI authorization
SSA634Request for Change in Overpayment Recovery Rate Completing paper form

400,000

1

120

800,000

$10.95

21

$10,293,000

100,000

1

45

75,000

10.95

21

1,204,500

Totals

500,000

875,000

11,497,500

khammond on DSKJM1Z7X2PROD with NOTICES

We based this figure on the average DI payments based on SSAs current FY 2021 data https www.ssa.gov/legislation/2021FactSheet.pdf.
We based this figure on averaging both the average FY 2021 wait times for field offices and teleservice centers, based on SSAs 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 Claimant or Other Person20 CFR 404.702 and 416.570
09600045. SSA uses Form SSA795, Statement of Claimant or Other Person, in special situations where there is no authorized form or questionnaire, yet we require a signed statement from the applicant, claimant, or other individuals who have knowledge of facts, in connection with claims for Social Security benefits or SSI. The
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information we request on the SSA795
is of sufficient importance that we need both a signed statement and a penalty clause. SSA uses this information to process, in addition to claims for benefits, issues about continuing eligibility; ongoing benefit amounts; use of funds by a representative payee; fraud investigation; and other program-related matters. The most common respondents are applicants for, or recipients of,
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Social Security or SSI. Respondents also include friends and relatives of the involved parties, coworkers, neighbors, or anyone else in a position to provide information pertinent to the issues.
Type of Request: Revision of an OMBapproved information collection.

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