Federal Register - August 20, 2021

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Source: Federal Register

46898

Federal Register / Vol. 86, No. 159 / Friday, August 20, 2021 / Notices
Number of respondents
Modality of completion
Average burden per response minutes
Frequency of response
Average theoretical hourly cost amount dollars
Estimated total annual burden hours
Average wait time in field office minutes
Total Annual Opportunity Cost dollars
SSA795 paper version
SSA795 Person Statement electronic version

207,239

1

15

51,810

$10.95

24

$1,475,031

24,583

1

15

6,146

27.07

166,372

Totals

231,822

57,956

1,641,403

We based these figures on the average DI payments based on SSAs current FY 2021 data https www.ssa.gov/legislation/2021FactSheet.pdf and on the average U.S. workers hourly wages, as reported by Bureau of Labor Statistics data https www.bls.gov/oes/current/oes_nat.htm00-0000.
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.

3. Claimants Medications20 CFR
404.1512 and 416.91209600289. In cases where claimants request a hearing after denial of their disability claim for Social Security, SSA uses Form HA
4632, Claimants Medications, to request information from the claimant regarding the medications they use. This information helps the judge overseeing
the case to fully investigate: 1 The claimants medical treatment and 2 the effects of the medications on the claimants medical impairments and functional capacity. The judge makes the completed form a part of the documentary evidence of record, placing it in the official record of the proceedings as an exhibit. The
Number of respondents
Modality of completion
Average burden per response minutes
Frequency of response
respondents are applicants or their representatives for Old Age Survivors and Disability Insurance OASDI
benefits or SSI payments who request a hearing to contest an agency denial of their claim.
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 minutes
Total Annual Opportunity Cost dollars
HA46321PDF/paper version
Electronic Records Express Submissions

53,200
136,800

1
1

15
15

13,300
34,200

$10.95
27.07

24

$378,651
925,794

Totals

190,000

47,500

1,304,445

We based this figure on the average DI payments based on SSAs current FY 2021 data https www.ssa.gov/legislation/2021FactSheet.pdf and on the average U.S. workers hourly wages, as reported by Bureau of Labor Statistics data https www.bls.gov/oes/current/oes_nat.htm00-0000.
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.

4. Disability Report-Adult20 CFR
404.1512 and 416.91209600579.
State Disability Determination Services DDS use Form SSA3368, Disabilty ReportAdult, and its electronic versions, to determine if adult disability
applicants impairments are severe and, if so, how the impairments affect the applicants ability to work. This determination informs whether the DDSs and SSA will find the applicant to be disabled and entitled to SSI

Number of respondents
Modality of completion
Average burden per response minutes
Frequency of response
payments. The respondents are applicants for Title II disability benefits or Title XVI SSI payments.
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 minutes
Total Annual Opportunity Cost dollars
SSA3368 Paper
EDCS 3368 Intranet
i3368 Internet

6,045
1,263,104
989,361

1
1 1

90
90
90

9,068
1,894,656
1,484,042

$10.95
10.95
10.95

21
21

$122,465
25,587,325
16,250,260

Totals

2,258,510

3,387,766

41,960,050

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.

5. Request for internet Services and 800 Automated Telephone Services Knowledge-Based Authentication RISAKBA20 CFR 401.450960
0596. The Request for internet Services and 800 Automated Telephone Services RISA Knowledge-Based
VerDate Sep<11>2014

17:27 Aug 19, 2021

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Authentication KBA is one of the authentication methods SSA uses to allow individuals access to their personal information through our internet and Automated Telephone Services. SSA asks individuals and third parties who seek personal
PO 00000

Frm 00078

Fmt 4703

Sfmt 4703

information from SSA records, or who register to participate in SSAs online business services, to provide certain identifying information. As an extra measure of protection, SSA asks requestors who use the internet and telephone services to provide additional
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Federal Register - August 20, 2021

TitoloFederal Register

PaeseStati Uniti

Data20/08/2021

Conteggio pagine202

Numero di edizioni7798

Prima edizione14/03/1936

Ultima edizione18/06/2026

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