SSA seeks comments on yet another info collection form
Published Date: 8/27/2026
Notice
Summary
No summary available.
Analyzed Economic Effects
6 provisions identified: 0 benefits, 6 costs, 0 mixed.
Appeals Council Review Form Burden
If you disagree with a Social Security hearing decision, you can request Appeals Council review by filing paper Form HA-520, uploading the fillable PDF, or using the i520 internet form. SSA estimates 81,855 respondents will use these methods, with each response taking about 15 minutes, a total annual burden of 20,464 hours, and a theoretical opportunity cost of $336,987.
Italy Residents Must Use SSA-2528-IT
If you live in Italy and apply for U.S. Social Security benefits through Italian agencies, you must complete Form SSA-2528-IT to show age, relationship, citizenship, marriage, death, or military service. SSA estimates 462 respondents filing this form, about 20 minutes per response, for a total annual burden of 154 hours and a theoretical opportunity cost of $5,165.
Medicare Part D Subsidy Hearing Paperwork
If you apply for Medicare Part D low-income subsidies and request an administrative review hearing, SSA collects information under regulations at 20 CFR 418.3625(c), 418.3645, 418.3665(a), and 418.3670. SSA estimates 187 respondents in total for these reporting sections, about 17 total hours of annual burden, and a theoretical opportunity cost of $242.
Form SSA-4111 for Reduced Widow(er) Election
If you are a qualified dually entitled widow(er) or surviving divorced spouse who elects to receive a reduced widow(er) benefit, you must complete Form SSA-4111. SSA estimates 6,787 respondents, about 13 minutes per response, a total annual burden of 1,471 hours, and a theoretical opportunity cost of $122,891.
Employers Asked to Complete SSA-3385
When SSA needs more information for a disability claim, it may send Form SSA-3385 to a claimant's current or former employer to report on the claimant's job performance. SSA estimates 2,604 employer respondents, about 20 minutes per response, a total annual burden of 868 hours, and a theoretical opportunity cost of $29,113.
Large Customer Feedback Surveys (Generic Clearance)
SSA will collect voluntary customer experience feedback under a Generic Clearance (OMB Circular A-11, Section 280). SSA estimates up to 5,955,560 survey responses, each about 5 minutes, for a total annual burden of 496,297 hours; SSA will submit this clearance to OMB within 60 days of this notice and corrected burden numbers are published here.
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