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The Social Security Administration (SSA) publishes a list of information collection packages requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law 104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions of OMB-approved information collections.
SSA is soliciting comments on the accuracy of the agency's burden estimate; the need for the information; its practical utility; ways to enhance its quality, utility, and clarity; and ways to minimize burden on respondents, including the use of automated collection techniques or other forms of information technology. Mail, email, or fax your comments and recommendations on the information collection(s) to the OMB Desk Officer and SSA Reports Clearance Officer at the following addresses or fax numbers.
(OMB) Office of Management and Budget, Attn: Desk Officer for SSA. You may submit your comments online through https://www.reginfo.gov/public/do/PRAMain, referencing Docket ID Number [SSA-2024-0031].
(SSA) Social Security Administration, OLCA, Attn: Reports Clearance Director, Mail Stop 3253 Altmeyer, 6401 Security Blvd., Baltimore, MD 21235, Fax: 833-410-1631. Email address: OR.Reports.Clearance@ssa.gov. Or you may submit your comments online through https://www.reginfo.gov/public/do/PRAmain by clicking on Currently under Review—Open for Public Comments and choosing to click on one of SSA's published items.
Please reference Docket ID Number [SSA-2024-0031] in your submitted response.
The information collections below are pending at SSA. SSA will submit them to OMB within 60 days from the date of this notice. To be sure we consider your comments, we must receive them no later than November 12, 2024. Individuals can obtain copies of the collection instruments by writing to the above email address.
1. Work Activity Report—Employee—20 CFR 404.1520(b), 404.1571-404.1576, 404.1584-404.1593, and 416.971-404.976—0960-0059. Section 223(d) of the Social Security Act (Act) defines the term “disability” as the inability to engage in any substantial gainful activity (SGA) by reason of any medically determinable physical or mental impairment which one expects to result in death, or which lasted or is expected to last for a continuous period of not less than 12 months. Social Security Disability (SSDI) and Supplemental Security Income (SSI) applicants or recipients can become entitled to payments based on their inability to engage in SGA because of a physical or mental condition. SSA uses Form SSA-821-BK to obtain work information during the initial claims process; the continuing disability review process; post-adjudicative work issue actions; and for Supplemental Security Income (SSI) claims involving work issues. SSA reviews and evaluates the data to determine if the applicant or recipient meets the disability requirements of the law. The respondents are applicants or recipients of Title II Social Security Disability, and Title XVI SSI applicants.
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) * | Average wait time in field office or for teleservice centers (minutes) ** | Total annual opportunity cost (dollars) *** |
---|---|---|---|---|---|---|---|
SSA-821-BK In Office | 64,330 | 1 | 30 | 32,165 | * $13.30 | ** 24 | *** 770,030 |
SSA-821-BK Phone | 128,660 | 1 | 30 | 64,330 | * 13.30 | ** 19 | *** 1,397,458 |
SSA-821-BK Returned Via Mail | 192,990 | 1 | 40 | 128,660 | * 13.30 | *** 1,710,380 | |
SSA-821-BK Electronic | 25,320 | 1 | 45 | 18,990 | * 13.30 | *** 252,567 | |
Totals | 411,300 | 244,145 | *** 4,130,435 | ||||
* We based this figure on the average of both DI payments based on SSA's current FY 2024 data ( https://mwww.ba.ssa.gov/legislation/2024FactSheet.pdf), and U.S. worker's 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 the average FY 2024 wait times for field offices, based on SSA's 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. |
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) *** |
---|---|---|---|---|---|---|---|
HA-4632—PDF/paper version | 51,000 | 1 | 20 | 17,000 | * $13.30 | ** 21 | *** $463,505 |
Electronic Records Express Submissions | 249,000 | 1 | 20 | 83,000 | * 31.48 | *** 2,612,840 | |
Totals | 300,000 | 100,000 | *** 3,076,345 | ||||
* We based this figure on the average DI payments based on SSA's current data ( https://www.ssa.gov/legislation/2024FactSheet.pdf ) and on the average U.S. worker's 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 2024 wait times for field offices and teleservice centers, based on SSA's 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. |
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) *** |
---|---|---|---|---|---|---|---|
SSA-3881-BK (Paper Version) | 98,307 | 1 | 30 | 49,154 | * $31.48 | ** 24 | *** $2,785,256 |
SSA-3881-BK (Intranet Version) | 52,936 | 1 | 30 | 26,468 | * 31.48 | ** 21 | *** 1,416,474 |
Totals | 151,243 | 75,622 | *** 4,201,730 | ||||
* We based this figure on average U.S. worker's 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 2024 wait times for field offices and hearings office, as well as by averaging both the average FY 2024 wait times for field offices (24 minutes) and teleservice centers (19 minutes), based on SSA's 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. |
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) *** | |
---|---|---|---|---|---|---|---|
SSA-L2765 * | 1 | 1 | 10 | 1 | ** $31.48 | *** $31.48 | |
SSA-L3365 * | 1 | 1 | 10 | 1 | ** 31.48 | *** 31.48 | |
SSA-L4002 * | 1 | 1 | 10 | 1 | ** 31.48 | *** 31.48 | |
Totals | 1 | 3 | *** 94 | ||||
* SSA does not currently send out any of these collections; however, we included 1 hour burden placeholders for each collection, in the event we need to send these notices out in the near future. | |||||||
** We based this figure on average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data ( https://www.bls.gov/oes/current/oes_nat.htm ). | |||||||
*** 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. |
Modality of completion (paper & Intranet versions) | 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 or teleservice center (minutes) ** | Total annual opportunity cost (dollars) *** |
---|---|---|---|---|---|---|---|
SSA-3375 | 26,864 | 1 | 20 | 8,955 | * $31.48 | ** 21 | *** $577,878 |
SSA-3376 | 53,347 | 1 | 20 | 17,782 | * 31.48 | ** 21 | *** 1,147,540 |
SSA-3377 | 108,745 | 1 | 20 | 36,248 | * 31.48 | ** 21 | *** 2,339,247 |
SSA-3378 | 193,800 | 1 | 20 | 64,600 | * 31.48 | ** 21 | *** 4,168,896 |
SSA-3379 | 142,006 | 1 | 20 | 47,335 | * 31.48 | ** 21 | *** 3,054,725 |
Totals | 524,762 | 174,921 | *** 11,288,286 | ||||
* We based this figure on the average U.S. worker's 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 2024 wait times for field offices (24 minutes) and Teleservice Centers (19 minutes), based on SSA's 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. |
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 or for teleservice centers (minutes) ** | Total annual opportunity cost (dollars) *** |
---|---|---|---|---|---|---|---|
SSA-6233 | 68,000 | 1 | 20 | 22,667 | * $31.48 | ** 21 | *** $1,462,781 |
* We based this figure on average U.S. worker's hourly wages, as reported by Bureau of Labor Statistics data ( https://www.bls.gov/oes/current/oes_nat.htm#00-0000 ). | |||||||
** We based this figure on averaging both the average FY 2024 wait times for field offices (24 minutes) and teleservice centers (19 minutes), based on SSA's 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. |
Modality of completion | Number of respondents | Frequency of response | Total number of responses | 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) *** |
---|---|---|---|---|---|---|---|---|
Sheltered Workshop Wage Reporting | 244 | 12 | 2,928 | 15 | 732 | * $23.28 | ** 24 | *** $19,322 |
* We based this on average Rehabilitation Counselors hourly salary, as reported in Bureau of Labor Statistics data ( https://www.bls.gov/oes/current/oes211015.htm ) | ||||||||
** We based this figure on the average FY 2024 wait times for field offices, based on SSA's 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. |