Signature Proxy Justification

Signature Proxy 83c Justifications 07-17-06-- FINAL.doc

Application for Widow's or Widower's Insurance Benefits 20 CFR 404.335-.338, 20 CFR 404.603

Signature Proxy Justification

OMB: 0960-0004

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Agency: Social Security Administration


Initiative Title: Signature Proxy


Background


Signature Proxy is an alternative to the traditional pen and ink or “wet” signature, and it eliminates the need to retain paper applications in most circumstances by allowing the technician to process the application on the claimant’s behalf, without a signature. In most instances, Signature Proxy allows SSA to store and process the entire benefit application electronically, thus reducing costs associated with mailing and storing physical files. In addition, the adoption of Signature Proxy supports faster processing of claims and will improve service to the public by eliminating the need to mail the application to the claimant and wait for it to be signed and returned.


Burden Reduction


Signature Proxy allows a Title II or Title XVI applicant or beneficiary to sign their application or redetermination form electronically. Previously, to complete the application process claimants needed to sign and mail in the application signature page to SSA. Under the Signature Proxy process, a “signature” is obtained by giving verbal consent for telephone claims or by clicking a button for Internet claims. SSA estimates Signature Proxy will reduce the amount of time required to submit the application by one minute per respondent. The calculation charts at Exhibit I attached illustrates the burden reductions achieved as a result of the Signature Proxy initiative.


Applications and Forms using Signature Proxy


Title II


  • 0960-0618, Internet Social Security Benefits Application (ISBA),

SSA-1, SSA-2 & SSA-16

  • 0960-0003, Application for Mother's or Father's Insurance Benefit, SSA-5-F6

  • 0960-0012, Application for Parent's Insurance Benefits, SSA-7

  • 0960-0013, Application for Lump-Sum Death Payment, SSA-8-F4

  • 0960-0004, Application for Widow's or Widower's Insurance Benefits

SSA-10-BK

    • 0960-0010, Application for Child's Insurance Benefits, SSA-4-BK

    • 10960-0014, Request to be Selected as Payee, SSA-11-BK







Title XVI


  • 0960-0229, Application for Supplemental Security Income, SSA-8000-BK

  • 0960-0444, Application for Supplemental Security Income, SSA-8001-F5

  • 0960-0416, Statement for Determining Continuing Eligibility for Supplemental Security Income Payments, SSA-8203-BK

  • 0960-0014, Request to be Selected as Payee, SSA-11-BK


Signature Proxy Burden Reduction Calculations



Title II Collections


0960-0618 / ISBA – SSA-1, 2 & 16


ISBA


Approximately 169,000 respondents complete ISBA annually and 100% of the ISBA respondents use Signature Proxy to sign their application. The breakdown is displayed on the following chart:

Form Type

Number of Respondents

Estimated Completion time

Burden Hours

ISBA

169,000

20.4 minutes

57,460

Totals:

169,000

 

57,460

 

As a result of the Signature Proxy initiative SSA has achieved a 2,817 burden hour reduction in the ISBA collection activity.


SSA-1


Approximately 1,460,692 respondents complete the SSA-1 annually. Of this total 97% (1,416,871) are completed through SSA’s 2Modernized Claims System (MCS) and 50% of the MCS respondents will use Signature Proxy (708,435.5). The breakdown is displayed on the following chart


Collection Method

Number of Respondents

Estimated Completion time

Burden Hours

MCS

708,435.5

10.5 minutes

123,976

MCS/Signature Proxy

708,435.5

9.5 minutes

112,169

Paper

43,821

10.5 minutes

7,669

Totals:

1,460,692


243,814


As a result of the Signature Proxy initiative SSA has achieved a 11,807 burden hour reduction in the SSA-1 collection activity.







SSA-2


Approximately 700,000 respondents complete the SSA-2 annually. Of this total 95% (665,000) are completed through MCS and 50% of the MCS respondents will use Signature Proxy (332,500). The breakdown is displayed on the following chart


Collection Method

Number of Respondents

Estimated Completion time

Burden Hours

MCS

332,500

15 minutes

83,125

MCS/Signature Proxy

332,500

14 minutes

77,583

Paper

35,000

15 minutes

8,750

Totals:

700,000


169,458


As a result of the Signature Proxy initiative SSA has achieved a 5,542 burden hour reduction in the SSA-2 collection activity.


SSA-16


Approximately 1,513,677 respondents complete the SSA-16 annually. Of this total 97% (1,468,267) are completed through SSA’s 3Modernized Supplemental Security Income Claims System (MISSICS) and 50% of the MCS respondents will use Signature Proxy (734,133.5). The breakdown is displayed on the following chart


Collection Method

Number of Respondents

Estimated Completion time

Burden Hours

MCS

734,133.5

20 minutes

244,711

MCS/Signature Proxy

734,133.5

19 minutes

232,476

Paper

45,410

20 minutes

15,137

Totals:

1,513,677


492,324


As a result of the Signature Proxy initiative SSA has achieved a 12,235 burden hour reduction in the SSA-16 collection activity.


TOTAL BURDEN REDUCDTION FOR ISBA


As outlined in the chart below SSA’s total ISBA burden reduction through the Signature Proxy Initiative is 32,401 burden hours.


ISBA

2,817

SSA-1

11,807

SSA-2

5,542

SSA-16

12,235

Total ISBA Reduction

32,401



0960-0010 / SSA-4-BK


Approximately 1,740,000 respondents complete the SSA-4-BK annually. Of this total 95% are completed through the MCS and 50% of the MCS respondents will use Signature Proxy. The claims are broken down into 2 Life and Death claim categories which have different completion times. The breakdown is displayed on the following charts:


Life Claims


Collection Method

Number of Respondents

Estimated Completion time

Burden Hours

MCS

439,375

10.5 minutes

76,891

MCS/Signature Proxy

439,375

9.5 minutes

69,568

Paper

46,250

10.5 minutes

8,094

Totals:

925,000


154,553


Death Claims


Collection Method

Number of Respondents

Estimated Completion time

Burden Hours

MCS

387,125

15.5 minutes

100,007

MCS/Signature Proxy

387,125

14.5 minutes

93,555

Paper

40,750

15.5 minutes

10,527

Totals:

815,000


204,089


As a result of the Signature Proxy initiative SSA has achieved a 13,775 burden hour reduction in the SSA-4-BK collection activity.






0960-0003 / SSA-5-F6


Approximately 50,000 respondents complete the SSA-5-F6 annually. Of this total 95% (47,500) are completed through MCS and 50% of the MCS respondents will use Signature Proxy (5,542). The breakdown is displayed on the following chart:

Collection Method

Number of Respondents

Estimated Completion time

Burden Hours

MCS

23,750

15 minutes

5,938

MCS/Signature Proxy

23,750

14 minutes

5,542

Paper

2,500

15 minutes

625

Totals:

50,000


12,105


As a result of the Signature Proxy initiative SSA has achieved a 395 burden hour reduction in the SSA-5-F6 collection activity.


0960-0012 / SSA-7-F6


Approximately 1,400 respondents complete the SSA-7-F6 annually. Of this total 95% (1,330) are completed through MCS and 50% of the MCS respondents will use Signature Proxy (665). The breakdown is displayed on the following chart:

Collection Method

Number of Respondents

Estimated Completion time

Burden Hours

MCS

665

15 minutes

166

MCS/Signature Proxy

665

14 minutes

155

Paper

70

15 minutes

18

Totals:

1,400


339


As a result of the Signature Proxy initiative SSA has achieved an 11 burden hour reduction in the SSA-7-F6 collection activity.


0960-0013 / SSA-8-F4


Approximately 877,000 respondents complete the SSA-8-F4 annually. Of this total 95% (833,150) are completed through MCS and 50% of the MCS respondents will use Signature Proxy (416,575). The breakdown is displayed on the following chart:

Collection Method

Number of Respondents

Estimated Completion time

Burden Hours

MCS

416,575

10 minutes

69,429

MCS/Signature Proxy

416,575

9 minutes

62,486

Paper

43,850

10 minutes

7,308

Totals:

877,000


139,223


As a result of the Signature Proxy initiative SSA has achieved a 6,944 burden hour reduction in the SSA-8-F4 collection activity.


0960-0004 / SSA-10-BK


Approximately 288,580 respondents complete the SSA-10 annually. Of this total 95% (274,151) are completed through MCS and 50% of the MCS respondents will use Signature Proxy (137,076). The breakdown is displayed on the following chart:

Collection Method

Number of Respondents

Estimated Completion time

Burden Hours

MCS

137,076

15 minutes

34,269

MCS/Signature Proxy

137,076

14 minutes

31,984

Paper

14,428

15 minutes

3,607

Totals:

288,580


69,860


As a result of the Signature Proxy initiative SSA has achieved a 2,285 burden hour reduction in the SSA-10 collection activity.


0960-0014 / SSA-11-BK


Approximately 1,500,000 respondents complete the SSA-11 annually. Of this total 1,000,000 are completed through the 4Representative Payee System (RPS) and 85% of the RPS respondents will use Signature Proxy (850,000). The breakdown is displayed on the following chart:


Collection Method

Number of Respondents

Estimated Completion time

Burden Hours

RPS

150,000

10.5 minutes

26,250

RPS/Signature Proxy

850,000

9.5 minutes

134,583

Paper

500,000

10.5 minutes

87,500

Totals:

51,500,000


248,333


As a result of the Signature Proxy initiative SSA has achieved a 14,167 burden hour reduction in the SSA-11 collection activity.









Title XVI Collections


0960-0229 / SSA-8000-BK


Approximately 1,128,374 respondents complete the SSA-8000 annually. Of this total 97% (1,094,523) are completed MISSICS and 25% of the MISSICS respondents will use Signature Proxy (273,631). The breakdown is displayed on the following chart:

Collection Method

Number of Respondents

Estimated Completion time

Burden Hours

MISSICS

820,892

36 minutes

492,535

MISSICS/Signature Proxy

273,631

35 minutes

159,618

Paper

33,851

41 minutes

23,132

Totals:

1,128,374


675,285


As a result of the Signature Proxy initiative SSA has achieved a 4,561 burden hour reduction in the SSA-8000-BK collection activity.


0960-0444 / SSA-8001


SSA has accounted for the Signature Proxy initiative in the ICR which was approved by OMB on April 21, 2006.


0960-0416 / SSA-8203 -BK


Approximately 900,000 respondents complete the information collected by the SSA-8203 annually. Of this total 85% (765,000) are completed through MISSICS and 25% of the MISSICS respondents will use Signature Proxy (191,250). The breakdown is displayed on the following chart:

Collection Method

Number of Respondents

Estimated Completion time

Burden Hours

MISSICS

573,750

19 minutes

181,688

MISSICS/Signature Proxy

191,250

18 minutes

57,375

Paper

135,000

19 minutes

42,750

Totals:

900,000


281,813


As a result of the Signature Proxy initiative SSA has achieved a 3,187 burden hour reduction in the SSA-8203 collection activity.





Summary


Through the ICB Signature Proxy Initiative SSA has achieved a total FY 2006 reduction of 77,726 burden hours. (As Shown Below.)


SSA Collection

Net Burden Reduction

ISBA / 0960-0618

32,401

SSA-4-BK / 0960-0010

13,775

SSA-5-F6 / 0960-0003

395

SSA-7-F6 / 0960-0012

11

SSA-8-F4 / 0960-0013

6,944

SSA-10-BK / 0960-0004

2,285

SSA-11-BK / 0960-0014

14,167

SSA-8000-BK / 0960-0229

4,561

SSA-8203-BK / 0960-0416

3,187

Total Signature Proxy Burden Reduction

77,726



1 The figures cited for the SSA-11 are for both Title II and XVI.

2 Modernized Claims System (MCS) – SSA’s automated system for taking and processing title II Applications.

3 Modernized Supplemental Security Income Claims System (MISSICS) -- SSA’s automated system for taking and processing title XVI applications & redeterminations.


4 Representative Payee System (RPS) – SSA’s automated system for taking and processing Applications to be Selected a Payee for both Title II & XVI claimants.

5 Based on the latest management information of this form’s usage, SSA is also adjusting the total number of annual respondents to the SSA-11 from 2,121,686 to 1,500,000.

2 300701

File Typeapplication/msword
File TitleAgency: Social Security Administration
AuthorCraig
Last Modified ByCraig
File Modified2006-08-31
File Created2006-07-18

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