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Federal Register / Vol. 86, No. 38 / Monday, March 1, 2021 / Notices
Modality of completion
beneficiaries, and to make a subsidy decision. The respondents are Medicare beneficiaries applying for the Part D
low-income subsidy.
Type of Request: Revision of an OMBapproved information collection.

subsidies for eligible Medicare beneficiaries. SSA uses Form SSA
1020, or the internet version, i1020, the Application for Extra Help with Medicare Prescription Drug Plan Costs, to obtain income and resource information from Medicare
3. Application for Extra Help with Medicare Prescription Drug Plan Costs20 CFR 418.310109600696.
The Medicare Modernization Act of 2003 mandated the creation of the Medicare Part D prescription drug coverage program and the provision of
Frequency of response
Number of respondents
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

SSA1020 paper applications
i1020 online applications Field Office Interviews

448,836
365,871
85,873

1
1 1

30
25
30

224,418
152,446
42,937

$25.72
25.72
25.72

0
0 24

$5,772,031
3,920,911
1,987,796

Totals

900,580

419,801

11,680,738

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. Rules of Conduct and Standards of Responsibility for Appointed Representatives20 CFR
404.1740b5, 404.1740b6, 404.1740b9, 416.1540b5, 416.1540b6, and 416.1540b9
09600804. Section 205a of the Social Security Act Act authorizes SSAs Commissioner to make rules and regulations and to establish procedures which are necessary or appropriate.
Section 1631d1 of the Act incorporates section 205a and applies it to Title XVI of the Act. Additionally, sections 206a and 1631d2 of the Act provide that the Commissioner has the authority to establish rules and regulations governing the recognition of individuals who represent claimants before the Commissioner. Individuals appointed to represent claimants before SSA must report to SSA in writing whenever one of the following situations in our revised regulations occurs:
20 CFR 404.1740b5 and 416.1540b5These sections require representatives to disclose to SSA in writing, at the time a medical or vocational opinion is submitted to SSA, or as soon as the representative is aware of the submission to us, if the representatives employee or any individual contracting with the representative drafted, prepared, or issued a medical or vocational opinion
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about a claimants disability, or if the representative referred or suggested that the claimant seek an examination from, treatment by, or the assistance of the individual providing opinion evidence;
20 CFR 404.1740b6 and 416.1540b6These sections require representatives to disclose to SSA
immediately if the representative discovers that his or her services are or were used by the claimant to commit fraud against SSA;
20 CFR 404.1740b7 and 416.1540b7These sections require representatives to disclose to SSA
whether the representative is or has been disbarred or suspended from any bar or court to which he or she was previously admitted to practice, including instances in which a bar or court took administrative action to disbar or suspend the representative in lieu of disciplinary proceedings; If the disbarment or suspension occurs after the appointment of the representative, the representative will immediately disclose the disbarment or suspension to SSA;
20 CFR 404.1740b8 and 416.1540b8These sections require representatives to disclose to SSA
whether the representative is or has been disqualified from participating in or appearing before any Federal program or agency, including instances in which a Federal program or agency took
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administrative action to disqualify the representative in lieu of disciplinary proceedings. If the disqualification occurs after the appointment of the representative, the representative will immediately disclose the disqualification to SSA; and 20 CFR 404.1740b9 and 416.1540b9These sections require representatives to disclose to SSA
whether the representative has been removed from practice or suspended by a professional licensing authority for reasons that reflect on the representatives character, integrity, judgment, reliability, or fitness to serve as a fiduciary. If the removal or suspension occurs after the appointment of the representative, the representative will immediately disclose the removal or suspension to SSA.
A representatives obligation to report these events is ongoing, and SSA
requires representatives to report any time one or more of these events occurs.
We consider this information essential to ensure the integrity of our administrative process and to safeguard the rights of all claimants. SSA requires representatives to notify SSA in writing, but there is no prescribed format for these reports. The respondents are individuals appointed to represent claimants before SSA.
Type of Request: Revision of an OMBapproved information collection.

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