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35373

Federal Register / Vol. 86, No. 125 / Friday, July 2, 2021 / Notices Under these agreements, SSA obtains third party liability information using Form SSA8019U2, Third Party Liability Information Statement, and provides that information to the
Modality of completion
Number of respondents
Medicaid state agencies. The Medicaid state agencies use the information to bill third parties liable for medical care, support, or services for a beneficiary to guarantee that Medicaid remains the
Average burden per response minutes
Frequency of response
payer of last resort. The respondents are SSI claimants and recipients.
Type of Request: Revision of an OMBapproved information collection.

Average theoretical hourly cost amount dollars

Estimated total annual burden hours
Average wait time in field office or for teleservice centers minutes

Total annual opportunity cost dollars

SSA8019U2 Paper SSI Claims System Intranet

200

1

6

20

$19.01

$380

35,257

1

6

3,526

19.01

21

301,613

Totals

35,457

3,546

301,993

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 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.

age; and 2 no longer caring for a child.
In this situation, spouses who decide to elect reduced benefits must file Form SSA25, Certificate of Election for Reduced Spouses Benefits. SSA uses the information to pay qualified spouses who elect to receive reduced benefits.

5. Certificate of Election for Reduced Spouses Benefits20 CFR 404.421
09600398. SSA cannot pay reduced Social Security benefits to an already entitled spouse unless the spouse elects to receive reduced benefits and is 1 at least age 62, but under full retirement
Respondents are entitled spouses seeking reduced Social Security benefits.
Type of Request: Revision of an OMB
approved 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

SSA25

30,000

1

13

6,500

$27.07

$175,955

We based this figures on average U.S. citizens hourly salary, as reported by Bureau of Labor Statistics data https www.bls.gov/oes/current/
oes_nat.htm00-00000.
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.

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6. Permanent Residence in the United States Under Color of Law PRUCOL
20 CFR 416.1615 and 416.16180960
0451. Under 20 CFR 416.1415 and 416.1618, SSA requires claimants or recipients to submit evidence of their alien status when they apply for SSI
payments, and periodically thereafter as part of the eligibility determination process for SSI. When SSA cannot verify evidence of alien status through the regular claimant interview process,
SSA verifies the validity of the evidence of PRUCOL for grandfathered nonqualified aliens with the Department of Homeland Security DHS using the DHS Systemic Alien Verification for Entitlements SAVE program. SSA
determines if the individual qualifies for PRUCOL status based on the SAVE
program response. SSA does not maintain any forms or applications for respondents to use, rather, the regulations listed in 20 CFR 416.1615

and 416.1618 specify the information respondents need to submit to SSA to show evidence of PRUCOL. Without this information, SSA is unable to determine whether the PRUCOL
individual is eligible for SSI payments.
Respondents are qualified and unqualified aliens who apply for SSI
payments under PRUCOL.
Type of Request: Extension of an OMB-approved information collection.

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

Total annual opportunity cost dollars

Personal Interview

1,049

1

5

87

$27.07

$2,355

We based this figure on average U.S. workers hourly wages, as reported by Bureau of Labor Statistics data https www.bls.gov/oes/current/
oes_nat.htm00-0000.

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