Agency Information Collection Activities: Proposed Request, 3093 [05-1022]
Download as PDF
Federal Register / Vol. 70, No. 12 / Wednesday, January 19, 2005 / Notices
Jacqueline White,
Chief, Administrative Information Branch.
[FR Doc. 05–990 Filed 1–18–05; 8:45 am]
BILLING CODE 8025–01–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 collections
should be submitted to the SSA Reports
Clearance Officer. The information can
be mailed and/or faxed to the address
and fax number listed below: (SSA),
Social Security Administration,
DCFAM, Attn: Reports Clearance
Officer, 1338 Annex Building, 6401
Security Blvd., Baltimore, MD 21235.
Fax: 410–965–6400.
OPLM.RCO@ssa.gov.
The information collections listed
below are 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.
1. Application for Help with Medicare
Prescription Drug Plan Costs, SSA–
1020SC—0960–NEW. The Medicare
Prescription Drug, Improvement, and
Modernization Act of 2003 (Public Law
108–173; MMA) establishes a new
Medicare Part D program for voluntary
prescription drug coverage for premium,
deductible, and cost-sharing subsidies
for certain low-income individuals. The
MMA stipulates that subsidies must be
available for individuals who are
eligible for the program and who meet
eligibility criteria for help with
VerDate jul<14>2003
15:11 Jan 18, 2005
Jkt 205001
premium, deductible, and/or copayment costs.
Individuals who receive these
subsidies may ask SSA to redetermine
the amount of help they receive if they
experience a ‘‘subsidy-changing event,’’
including marriage, separation, divorce,
an annulment, or the death of a spouse.
Until late 2006, when redetermination
forms will become available, SSA will
use form SSA–1020–SC, the Application
for Help with Medicare Prescription
Drug Plan Costs, to make
redeterminations based on subsidychanging events. The respondents are
individuals whose application for help
toward the costs for this program has
been approved and are requesting a
redetermination of their subsidy based
on a subsidy-changing event.
Type of Request: New information
collection.
Number of Respondents: 76,000.
Frequency of Response: 1.
Average Burden Per Response: 35
minutes.
Estimated Annual Burden: 44,333
hours.
2. Application for Help with Medicare
Prescription Drug Plan Costs—0960–
NEW (Internet/Intranet Application
Screens). The Medicare Prescription
Drug, Improvement, and Modernization
Act of 2003 (Public Law 108–173;
MMA) establishes a new Medicare Part
D program for voluntary prescription
drug coverage for premium, deductible,
and cost-sharing subsidies for certain
low-income individuals. The MMA
stipulates that subsidies must be
available for individuals who are
eligible for the program and who meet
eligibility criteria for help with
premium, deductible, and/or copayment costs. Form SSA–1020, the
Application for Help with Medicare
Prescription Drug Plan Costs, collects
information about an applicant’s
resources and is used by SSA to
determine eligibility for this assistance.
We are proposing electronic versions
of the SSA–1020, which will collect the
information via the Intranet (the
information is provided by the
respondent during an interview at a
Social Security field office) or the
Internet (i1020) (if respondents
complete the Internet screens on their
own and submit them electronically).
The respondents are individuals who
are eligible for enrollment in the
Medicare Part D program and are
requesting assistance with the related
costs.
Type of Request: New information
collection.
Number of Respondents: 2,000,000.
Frequency of Response: 1.
PO 00000
Frm 00099
Fmt 4703
Sfmt 4703
3093
Average Burden Per Response: 45
minutes.
Estimated Annual Burden: 1,500,000.
Dated: January 12, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. 05–1022 Filed 1–18–05; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
Privacy Act of 1974 as Amended;
Computer Matching Program (SSA/
Department of Homeland Security
(DHS) Number 1010)
AGENCY:
Social Security Administration
(SSA).
Notice of a modification to a
computer matching program.
ACTION:
SUMMARY: In accordance with the
provisions of the Privacy Act, as
amended, this notice announces a
modification of a computer matching
program that SSA conducts with DHS.
DATES: SSA will file a report of the
subject matching program with the
Committee on Governmental Affairs of
the Senate, the Committee on
Government Reform of the House of
Representatives and the Office of
Information and Regulatory Affairs,
Office of Management and Budget
(OMB). The matching program will be
effective as indicated below.
ADDRESSES: Interested parties may
comment on this notice either by telefax
to (410) 965–5961 or writing to the
Associate Commissioner for Income
Security Programs, 245 Altmeyer
Building, 6401 Security Boulevard,
Baltimore, MD 21235–6401. All
comments received will be available for
public inspection at this address.
FOR FURTHER INFORMATION CONTACT: The
Associate Commissioner for Income
Security Programs as shown above.
SUPPLEMENTARY INFORMATION:
A. General
The Computer Matching and Privacy
Protection Act of 1988 (Public Law (P.
L.) 100–503), amended the Privacy Act
(5 U.S.C. § 552a) by describing the
manner in which computer matching
involving Federal agencies could be
performed and adding certain
protections for individuals applying for
and receiving Federal benefits. Section
7201 of the Omnibus Budget
Reconciliation Act of 1990 (Pub. L. 101–
508) further amended the Privacy Act
regarding protections for such
individuals.
The Privacy Act, as amended,
regulates the use of computer matching
E:\FR\FM\19JAN1.SGM
19JAN1
Agencies
[Federal Register Volume 70, Number 12 (Wednesday, January 19, 2005)]
[Notices]
[Page 3093]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-1022]
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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 collections should be
submitted to the SSA Reports Clearance Officer. The information can be
mailed and/or faxed to the address and fax number listed below: (SSA),
Social Security Administration, DCFAM, Attn: Reports Clearance Officer,
1338 Annex Building, 6401 Security Blvd., Baltimore, MD 21235. Fax:
410-965-6400. OPLM.RCO@ssa.gov.
The information collections listed below are 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.
1. Application for Help with Medicare Prescription Drug Plan Costs,
SSA-1020SC--0960-NEW. The Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (Public Law 108-173; MMA) establishes a new
Medicare Part D program for voluntary prescription drug coverage for
premium, deductible, and cost-sharing subsidies for certain low-income
individuals. The MMA stipulates that subsidies must be available for
individuals who are eligible for the program and who meet eligibility
criteria for help with premium, deductible, and/or co-payment costs.
Individuals who receive these subsidies may ask SSA to redetermine
the amount of help they receive if they experience a ``subsidy-changing
event,'' including marriage, separation, divorce, an annulment, or the
death of a spouse. Until late 2006, when redetermination forms will
become available, SSA will use form SSA-1020-SC, the Application for
Help with Medicare Prescription Drug Plan Costs, to make
redeterminations based on subsidy-changing events. The respondents are
individuals whose application for help toward the costs for this
program has been approved and are requesting a redetermination of their
subsidy based on a subsidy-changing event.
Type of Request: New information collection.
Number of Respondents: 76,000.
Frequency of Response: 1.
Average Burden Per Response: 35 minutes.
Estimated Annual Burden: 44,333 hours.
2. Application for Help with Medicare Prescription Drug Plan
Costs--0960-NEW (Internet/Intranet Application Screens). The Medicare
Prescription Drug, Improvement, and Modernization Act of 2003 (Public
Law 108-173; MMA) establishes a new Medicare Part D program for
voluntary prescription drug coverage for premium, deductible, and cost-
sharing subsidies for certain low-income individuals. The MMA
stipulates that subsidies must be available for individuals who are
eligible for the program and who meet eligibility criteria for help
with premium, deductible, and/or co-payment costs. Form SSA-1020, the
Application for Help with Medicare Prescription Drug Plan Costs,
collects information about an applicant's resources and is used by SSA
to determine eligibility for this assistance.
We are proposing electronic versions of the SSA-1020, which will
collect the information via the Intranet (the information is provided
by the respondent during an interview at a Social Security field
office) or the Internet (i1020) (if respondents complete the Internet
screens on their own and submit them electronically). The respondents
are individuals who are eligible for enrollment in the Medicare Part D
program and are requesting assistance with the related costs.
Type of Request: New information collection.
Number of Respondents: 2,000,000.
Frequency of Response: 1.
Average Burden Per Response: 45 minutes.
Estimated Annual Burden: 1,500,000.
Dated: January 12, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 05-1022 Filed 1-18-05; 8:45 am]
BILLING CODE 4191-02-P