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Federal Register / Vol. 86, No. 17 / Thursday, January 28, 2021 / Notices information from claimants using Form SSA1535 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 SSA1535 to bill SSA for the search.
The respondents are applicants for Social Security benefits who need to
3. Application for Search of Census Records for Proof of Age20 CFR
404.71609600097. 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 claimants date of birth. SSA collects
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 OMBapproved information collection.

Modality of completion
Number of respondents
Frequency of response
Average burden per response minutes
Estimated total annual burden hours
Average theoretical hourly cost amount dollars

Average wait time in field office minutes

Total annual opportunity cost dollars

SSA1535

15

1

12

3

$25.72

24

$231

We based this figure on the average U.S. citizens 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 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.

4. Workers Compensation/Public Disability Questionnaire20 CFR
404.40809600247. 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 workers pre-disability earnings. SSA field office staff conduct in-person interviews with applicants using the electronic SSA546 WC/PDB
screens in the Modernized Claims
System MCS to determine if the workers 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 OMBapproved information collection.

Modality of completion
Number of respondents
Frequency of response
Average burden per response minutes
Estimated total annual burden hours
Average theoretical hourly cost amount dollars

Average wait time in field office minutes

Total annual opportunity cost dollars

SSA546 MCS Screens

248,000

1

15

62,000

$10.73

24

$1,729,676

We based this figure on average DI payments based on SSAs 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 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.

5. Supplemental Security Income SSI Claim Information Notice20 CFR
416.21009600324. Section 1611e2
of the Act requires individuals to file for and obtain all payments annuities, pensions, disability benefits, veterans 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 SSAL8050 to verify and establish a claimants or recipients 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 OMBapproved information collection.

Modality of completion
Number of respondents
Frequency of response
Average burden per response minutes
Estimated total annual burden hours
Average theoretical hourly cost amount dollars

Total annual opportunity cost dollars

SSAL8050

17,044

1

10

2,841

$10.73

$30,484

We based this figure on average DI payments based on SSAs 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 Mental20 CFR
404.1512404.1513, 416.912416.913, 404.1517, and 416.91709600662.
When a claimant appeals a denied disability claim, SSA may ask the claimant to have a consultative examination at the agencys expense, if the claimants medical sources cannot,
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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 claimants state of disability. Specifically, these medical source statements determine the workrelated capabilities of these claimants.
SSA collects the medical data on the
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HA1151 and HA1152 to assess the work-related physical and mental capabilities of claimants who appeal SSAs 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.

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