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54009

Federal Register / Vol. 86, No. 186 / Wednesday, September 29, 2021 / Notices
Number of respondents
Modality of completion
Average burden per response minutes
Frequency of response
Estimated total annual burden hours
Average theoretical hourly cost amount dollars

Average wait time for teleservice centers minutes

Total annual opportunity cost dollars

Statement from other Respondents
Physicians Certifications

26,793
26,793

1
1

5
5

2,233
2,233

$10.95
41.30

19
0

$117,351
92,223

Totals

53,586

4,466

209,574

We based these figures on the average DI payments based on SSAs current FY 2021 data https www.ssa.gov/legislation/2021FactSheet.pdf, and the average Healthcare Practitioners and Technical Occupations hourly wages, as reported by Bureau of Labor Statistics data https www.bls.gov/oes/current/oes290000.htm.
We based this figure on the average FY 2021 wait times for 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.

6. Claimant Statement about Loan of Food or Shelter; Statement about Food or Shelter Provided to Another20 CFR
416.1130416.114809600529. SSA
bases an SSI claimants or recipients eligibility on need, as measured by the amount of income an individual receives. Per our calculations, income includes other people providing in-kind support and maintenance in the form of
Number of respondents
Modality of completion
income for SSI purposes. This determination may affect claimants or recipients eligibility for SSI as well as the amounts of their SSI payments. The respondents are claimants and recipients for SSI payments, and individuals who provide loans of food or shelter to them.
Type of Request: Revision of an OMBapproved information collection.

food and shelter to SSI applicants or recipients. SSA uses Forms SSA5062, Claimant Statement about Loan of Food or Shelter, and SSAL5063, Statement about Food or Shelter Provided to Another, to obtain statements about food or shelter provided to SSI
claimants or recipients. SSA uses this information to determine whether the food or shelter are bona fide loans or Average burden per response minutes
Frequency of response
Estimated total annual burden hours
Average theoretical hourly cost amount dollars

Average wait time in field office minutes

Total annual opportunity cost dollars

SSA5062Paper Version
SSAL5063Paper Version
SSA5062SSI Claims System
SSAL5063SSI Claims System

29,026
29,026
29,026
29,026

1
1 1
1

10
10
10
10

4,838
4,838
4,838
4,838

$19.01
19.01
19.01
19.01

24
24
24
24

$312,676
312,676
312,676
312,676

Totals

116,104

19,352

1,250,704

We based this figure on averaging both the average DI payments based on SSAs current FY 2021 data https www.ssa.gov/legislation/2021FactSheet.pdf, and the average U.S. workers 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 2021 wait times for field offices, 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.

7. Application for Circuit Court Law 20 CFR 404.985 & 416.14850960
0581. Individuals claiming that an acquiescence ruling AR would change SSAs prior determination or decision must submit a written readjudication request with specific information. SSA
reviews the information in the requests to determine if the issues stated in the
AR pertain to the claimants case, and if the claimant is entitled to readjudication. If readjudication is appropriate, SSA considers the issues the AR covers. Any new determination or decision is subject to administrative or judicial review as specified in the regulations, and the claimants must provide information to request
Number of respondents
Modality of completion
AR-based readjudication requests

Frequency of response
10,000

Average burden per response minutes
1

readjudication. The respondents are claimants for Social Security benefits and SSI payments, who request a readjudication of their claim based on an AR notice.
Type of Request: Extension of an OMB
approved information collection.

Estimated total annual burden hours
17

2,833

Average theoretical hourly cost amount dollars
$10.95

Total annual opportunity cost dollars
$31,021

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We based this figure on the average DI payments based on SSAs current FY 2021 data https www.ssa.gov/legislation/2021FactSheet.pdf.
This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to respondents to complete the application.

8. Social Security Administration Health IT Partner Program AssessmentParticipating Facilities and Available Content Form20 CFR
404.1614 & 416.101409600798. The Health Information Technology for
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Economic and Clinical Health HITECH
Act promotes the adoption and meaningful use of health information technology IT, particularly in the context of working with government agencies. Similarly, section 3004 of the
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Public Health Service Act requires health care providers or health insurance issuers with government contracts to implement, acquire, or upgrade their health IT systems and products to meet adopted standards and
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