Agency Information Collection Activities: Proposed Request, 77438-77439 [E5-8094]
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77438
Federal Register / Vol. 70, No. 250 / Friday, December 30, 2005 / Notices
Room. Copies of the filing also will be
available for inspection and copying at
the principal office of the Phlx. All
comments received will be posted
without change; the Commission does
not edit personal identifying
information from submissions. You
should submit only information that
you wish to make available publicly. All
submissions should refer to File
Number SR–Phlx–2005–86 and should
be submitted on or before January 20,
2006.
For the Commission, by the Division of
Market Regulation, pursuant to delegated
authority.27
Jonathan G. Katz,
Secretary.
[FR Doc. E5–8129 Filed 12–29–05; 8:45 am]
BILLING CODE 8010–01–P
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Proposed Request
The Social Security Administration
(SSA) publishes a list of information
collection packages that will require
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. The information collection
packages that may be included in this
notice are for new 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 on ways
to minimize burden on respondents,
including the use of automated
collection techniques or other forms of
information technology. Written
comments and recommendations
regarding the information collection(s)
should be submitted to the SSA Reports
Clearance Officer. The information can
be mailed and/or faxed to the
individuals at the addresses and fax
number listed below:
(SSA), Social Security
Administration, DCFAM, Attn: Reports
Clearance Officer, 1333 Annex Building,
6401 Security Blvd., Baltimore, MD
21235. Fax: 410–965–6400. E-mail:
OPLM.RCO@ssa.gov.
The information collection listed
below is pending at SSA and will be
submitted to OMB within 60 days from
the date of this notice. Therefore, your
comments should be submitted to SSA
within 60 days from the date of this
publication. You can obtain copies of
the collection instruments by calling the
SSA Reports Clearance Officer at 410–
965–0454 or by writing to the address
listed above.
Number of
respondents
Form
Explanation
SSA–L1026 ..............
Passive redetermination letter informing Medicare Part D subsidy recipients what income, resource, and household information SSA has on file for them, and asking if this information has changed.
Redetermination form completed by Medicare Part D subsidy
recipients who said their income, resource, or household
information had changed in their response to form SSA–
L1026. Beginning in 2007, this form will also be used as a
cyclical redetermination form to be completed by Medicare
Part D subsidy recipients who are automatically sent the
form based on certain profile/selection criteria.
Redetermination form completed by Medicare Part D subsidy
recipients who called SSA to inform them of an event
which is potentially subsidy-changing (marriage, divorce,
annulment, legal separation, spousal death). This form,
which is identical to form SSA–1026–RET but has a different cover sheet, will replace form OMB No. 0960–0703
(SSA–1020–SC).
....................................................................................................
SSA–1026–RET .......
SSA–1026–SCE .......
wwhite on PROD1PC61 with NOTICES
Total ..................
27 17
Redetermination of Eligibility for Help
with Medicare Prescription Drug Plan
Costs—0960–NEW. Under the aegis of
the Medicare Modernization Act of 2003
(Pub. L. 108–173), SSA will conduct
low-income subsidy eligibility
redeterminations for Medicare
beneficiaries who filed for the subsidy
and were determined by SSA to be
eligible. Subsidy eligibility
redeterminations will be conducted
when: (1) Medicare Part D subsidy
beneficiaries use form SSA–1026–RET
to report a change in income, resources,
or household information in response to
SSA’s inquiry via form SSA–L1026; (2)
Medicare Part D subsidy beneficiaries
report a change in income, resources, or
household information on their own
using form SSA–1026–RET; (3)
Medicare Part D subsidy beneficiaries
use form SSA–1026–SCE to report a
subsidy-changing event which could
potentially impact the amount of their
subsidy, including marriage, separation,
divorce/annulment, or spousal death.
The respondents are current recipients
of the Medicare Part D low-income
subsidy who will undergo an eligibility
redetermination for one of the reasons
mentioned above. Following is a
description of the forms in this
collection, the number of respondents
who will complete them, and their
burden data.
Frequency
of response
(per year)
Average
burden per
response (in
minutes)
1,500,000
1
5
125,000
300,000
1
20
100,000
76,000
1
20
25,333
1,876,000
—
—
250,333
CFR 200.30–3(a)(12).
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E:\FR\FM\30DEN1.SGM
30DEN1
Estimated
annual
burden (in
hours)
77439
Federal Register / Vol. 70, No. 250 / Friday, December 30, 2005 / Notices
Dated: December 23, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. E5–8094 Filed 12–29–05; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Proposed Request
The Social Security Administration
(SSA) publishes a list of information
collection packages that require
clearance by the Office of Management
and Budget (OMB) in compliance with
Pub. L. 104–13, the Paperwork
Reduction Act of 1995, effective October
1, 1995. The information collection
packages that may be included in this
notice are for new information
collections, approval of existing
information collections, revisions to
OMB-approved information collections,
and extensions (no change) of OMBapproved 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 the burden on respondents,
including the use of automated
collection techniques or other forms of
information technology. Written
comments and recommendations
regarding the information collection(s)
should be submitted to the OMB Desk
Officer and the SSA Reports Clearance
Officer; (OMB), Office of Management
and Budget, Attn: Desk Officer for SSA,
Fax: 202–395–6974; (SSA), Social
Security Administration, DCFAM, Attn:
Reports Clearance Officer, Fax: 410–
965–6400, E-mail: OPLM.RCO@ssa.gov.
The information collection listed
below is pending at SSA and will be
submitted to OMB within 60 days from
the date of this notice. Therefore, your
comments should be submitted to SSA
within 60 days from the date of this
publication. You can obtain a copy of
the collection instrument by calling the
SSA Reports Clearance Officer at 410–
965–0454 or by writing to the address
listed above.
Consent Based Social Security Number
Verification Process—0960–NEW
Background
The Social Security Administration
(SSA) has provided limited fee based
Social Security Number (SSN)
verification service to private businesses
and other requesters that obtain a valid,
signed consent form from the Social
Security Number Holder. Based on the
consent forms, SSA verifies the Number
Holders’ SSNs for the requesting party.
The Privacy Act of 1974, 5 U.S.C.
552a(b), section 1106 of the Social
Security Act, 42 U.S.C. 1306, and SSA
regulation at 20 CFR 401.100 establish
the legal authority for SSA to provide
SSN verifications to third party
requesters based on consent. Currently,
the consent-based SSN verification
service for high volume requesters is a
paper-driven, labor-intensive process. In
recent years, the demand for SSN
verification has grown within the
business community. As a result, SSA is
developing an Agency strategy to
perform fee based SSN verifications
with consent in a high volume,
centralized process.
The Consent Based Social Security
Number Verification (CBSV) Process is
the first phase of the Agency’s long term
strategy to provide the business
community with fee based disclosures
with consent in high volume. SSA is
developing CBSV as a user-friendly,
Internet-based application with
safeguards that will protect the public’s
information. In addition to the benefit of
providing high volume, centralized SSN
verification services to the business
community in a secure manner, CBSV
also will provide the Agency with
inherent cost and workload
management benefits.
The CBSV Collection
The CBSV is a fee based automated
SSN verification service that can be
used by private businesses and other
requesting parties who register with
SSA to use the system and have
obtained valid consent from Number
Holders. The purpose of the information
collection is to verify for the requesting
party that the submitted name and SSN
Number of
respondents
per year
wwhite on PROD1PC61 with NOTICES
Respondent
Requirement
Participating Companies ...................
Completion of Registration Process
Creation of file of SSN requests,
data entry, file formatting, and
maintaining required documentation and forms.
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Sfmt 4703
match or do not match the information
contained in the SSA records. After
completing a registration process and
paying the fee, the requesting party can
submit a file through the CBSV Internet
application containing names of
Number Holders who have given valid
consent, along with each Number
Holder’s accompanying SSN and date of
birth (if available). The Agency matches
the information against SSA’s Master
File of Social Security Numbers, using
SSN, name, date of birth and gender
code (if available). The requesting party
retrieves the results file from SSA; the
results file indicates a match or no
match for each SSN submitted.
Under the CBSV process, the
requesting party does not submit the
consent forms to SSA. SSA will require
each requesting party to retain a valid
consent form for each SSN verification
request for a period of six years. The
requesting party is permitted to retain
the consent forms in either electronic or
paper format.
To ensure the integrity of the CBSV
Process, SSA has added a strong audit
component that requires audits (called
‘‘compliance reviews’’) at the discretion
of the agency with all audit costs to be
borne by the requesting party. These
reviews will be conducted by
independent certified public
accountants (CPAs) to ensure
compliance with all the terms and
conditions of the parties’ agreement
with SSA, including a review of the
consent forms. This review is performed
at the requesting party’s place of
business to ensure the integrity of the
process. In addition, SSA reserves the
right to perform unannounced onsite
inspections of the entire process
including review of the technical
systems which maintain the data and
transaction records at the requesting
party’s place of business.
The respondents to the CBSV
collection are the participating
companies, members of the public who
consent to the SSN verification, and
CPAs who provide compliance review
services.
Type of Request: New information
collection.
Frequency of
response
150
150
E:\FR\FM\30DEN1.SGM
1
*251
30DEN1
Average of
burden per
response
(minutes)
120
120
Annual burden
(hours)
300
75,300
]]>Agencies
[Federal Register Volume 70, Number 250 (Friday, December 30, 2005)]
[Notices]
[Pages 77438-77439]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E5-8094]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Request
The Social Security Administration (SSA) publishes a list of
information collection packages that will require 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.
The information collection packages that may be included in this notice
are for new 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 on ways to minimize
burden on respondents, including the use of automated collection
techniques or other forms of information technology. Written comments
and recommendations regarding the information collection(s) should be
submitted to the SSA Reports Clearance Officer. The information can be
mailed and/or faxed to the individuals at the addresses and fax number
listed below:
(SSA), Social Security Administration, DCFAM, Attn: Reports
Clearance Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore,
MD 21235. Fax: 410-965-6400. E-mail: OPLM.RCO@ssa.gov.
The information collection listed below is pending at SSA and will
be submitted to OMB within 60 days from the date of this notice.
Therefore, your comments should be submitted to SSA within 60 days from
the date of this publication. You can obtain copies of the collection
instruments by calling the SSA Reports Clearance Officer at 410-965-
0454 or by writing to the address listed above.
Redetermination of Eligibility for Help with Medicare Prescription
Drug Plan Costs--0960-NEW. Under the aegis of the Medicare
Modernization Act of 2003 (Pub. L. 108-173), SSA will conduct low-
income subsidy eligibility redeterminations for Medicare beneficiaries
who filed for the subsidy and were determined by SSA to be eligible.
Subsidy eligibility redeterminations will be conducted when: (1)
Medicare Part D subsidy beneficiaries use form SSA-1026-RET to report a
change in income, resources, or household information in response to
SSA's inquiry via form SSA-L1026; (2) Medicare Part D subsidy
beneficiaries report a change in income, resources, or household
information on their own using form SSA-1026-RET; (3) Medicare Part D
subsidy beneficiaries use form SSA-1026-SCE to report a subsidy-
changing event which could potentially impact the amount of their
subsidy, including marriage, separation, divorce/annulment, or spousal
death. The respondents are current recipients of the Medicare Part D
low-income subsidy who will undergo an eligibility redetermination for
one of the reasons mentioned above. Following is a description of the
forms in this collection, the number of respondents who will complete
them, and their burden data.
----------------------------------------------------------------------------------------------------------------
Average
Frequency burden per Estimated
Form Explanation Number of of response response annual
respondents (per year) (in burden (in
minutes) hours)
----------------------------------------------------------------------------------------------------------------
SSA-L1026................... Passive redetermination letter 1,500,000 1 5 125,000
informing Medicare Part D
subsidy recipients what
income, resource, and
household information SSA has
on file for them, and asking
if this information has
changed.
SSA-1026-RET................ Redetermination form completed 300,000 1 20 100,000
by Medicare Part D subsidy
recipients who said their
income, resource, or
household information had
changed in their response to
form SSA-L1026. Beginning in
2007, this form will also be
used as a cyclical
redetermination form to be
completed by Medicare Part D
subsidy recipients who are
automatically sent the form
based on certain profile/
selection criteria.
SSA-1026-SCE................ Redetermination form completed 76,000 1 20 25,333
by Medicare Part D subsidy
recipients who called SSA to
inform them of an event which
is potentially subsidy-
changing (marriage, divorce,
annulment, legal separation,
spousal death). This form,
which is identical to form
SSA-1026-RET but has a
different cover sheet, will
replace form OMB No. 0960-
0703 (SSA-1020-SC).
Total................... .............................. 1,876,000 -- -- 250,333
----------------------------------------------------------------------------------------------------------------
[[Page 77439]]
Dated: December 23, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E5-8094 Filed 12-29-05; 8:45 am]
BILLING CODE 4191-02-P
