Agency Information Collection Activities: Comment Request, 14744 [05-5644]

Download as PDF 14744 Federal Register / Vol. 70, No. 55 / Wednesday, March 23, 2005 / Notices Management and Budget and the SSA Reports Clearance Officer and the Office of Management and Budget. The information can be mailed and/or faxed to the addresses and fax numbers listed below: (OMB), Office of Management and Budget, Fax: 202–395–6974. (SSA), Social Security Administration, DCFAM, Attn: Reports Clearance Percent Officer, 1338 Annex Building, 6401 Security Blvd., Baltimore, MD 21235, Homeowners With Credit Available Fax: 410–965–6400, Elsewhere ................................... 5.875 OPLM.RCO@ssa.gov. Homeowners Without Credit AvailThe information collections listed able Elsewhere ........................... 2.937 below have been submitted to OMB for Businesses With Credit Available Elsewhere ................................... 5.800 clearance. In order for your comments to Businesses & Small Agricultural be considered you must send them Cooperatives Without Credit within 30 days from the date of Available Elsewhere .................... 4.000 publication of this notice. You can Other (Including Non-Profit Organirequest a copy of the OMB clearance zations) With Credit Available packages by email to Elsewhere ................................... 4.750 OPLM.RCO@ssa.gov or by calling the Businesses and Non-Profit OrganiSSA Reports Clearance Officer at (410) zations Without Credit Available Elsewhere ................................... 4.000 965–0454. 1. Application for Help with Medicare Prescription Drug Plan Costs, SSA– The number assigned to this disaster 1020–SC—0960–NEW. The Medicare for physical damage is 10078 6 and for Prescription Drug, Improvement, and economic injury is 10079 0. Modernization Act of 2003 (Pub. L. 108– The States which received an EIDL 173; MMA) establishes a new Medicare Declaration # are Nevada, Arizona, and Part D program for voluntary California. prescription drug coverage for premium, (Catalog of Federal Domestic Assistance deductible, and cost-sharing subsidies Numbers 59002 and 59008) for certain low-income individuals. The Dated: March 15, 2005. MMA stipulates that subsidies must be Hector V. Barreto, available for individuals who are Administrator. eligible for the program and who meet [FR Doc. 05–5684 Filed 3–22–05; 8:45 am] eligibility criteria for help with BILLING CODE 8025–01–P premium, deductible, and/or copayment costs. Individuals who receive these subsidies may ask SSA to redetermine SOCIAL SECURITY ADMINISTRATION the amount of help they receive if they Agency Information Collection experience a ‘‘subsidy-changing event,’’ Activities: Comment Request including marriage, separation, divorce, an annulment, or the death of a spouse. The Social Security Administration Until late 2006, when redetermination (SSA) publishes a list of information forms will become available, SSA will collection packages that will require use form SSA–1020–SC, the Application clearance by the Office of Management for Help with Medicare Prescription and Budget (OMB) in compliance with Drug Plan Costs, to make Pub. L. 104–13, the Paperwork redeterminations based on subsidyReduction Act of 1995, effective October changing events. The respondents are 1, 1995. The information collection individuals whose application for help packages included in this notice are for toward the costs for this program has new information collections. been approved and are requesting a SSA is soliciting comments on the redetermination of their subsidy based accuracy of the agency’s burden on a subsidy-changing event. estimate; the need for the information; Type of Request: New information its practical utility; ways to enhance its collection. quality, utility, and clarity; and on ways Number of Respondents: 76,000. to minimize burden on respondents, Frequency of Response: 1. including the use of automated Average Burden Per Response: 35 collection techniques or other forms of minutes. information technology. Written Estimated Annual Burden: 44,333 comments and recommendations hours. regarding the information collections 2. Application for Help with Medicare should be submitted to the Office of Prescription Drug Plan Costs—0960– Nevada: Lincoln, Nye Arizona: Mohave. California: Inyo, San Bernardino The Interest Rates are: VerDate jul<14>2003 16:27 Mar 22, 2005 Jkt 205001 PO 00000 Frm 00110 Fmt 4703 Sfmt 4703 NEW (Internet/Intranet Application Screens). The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Pub. L. 108–173; MMA) establishes a new Medicare Part D program for voluntary prescription drug coverage for premium, deductible, and cost-sharing subsidies for certain lowincome 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. Average Burden Per Response: 45 minutes. Estimated Annual Burden: 1,500,000. Dated: March 17, 2005. Elizabeth A. Davidson, Reports Clearance Officer, Social Security Administration. [FR Doc. 05–5644 Filed 3–22–05; 8:45 am] BILLING CODE 4191–02–P DEPARTMENT OF STATE [Public Notice 5033] Culturally Significant Objects Imported for Exhibition Determinations: ‘‘The Shamans: Spirit Guides of Siberia’’ Department of State. Notice. AGENCY: ACTION: SUMMARY: Notice is hereby given of the following determinations: Pursuant to the authority vested in me by the Act of October 19, 1965 [79 Stat. 985; 22 U.S.C. 2459], Executive Order 12047 of March 27, 1978, the Foreign Affairs Reform and Restructuring Act of 1998 [112 Stat. 2681, et seq.; 22 U.S.C. 6501 note, et seq.], Delegation of Authority No. 234 of E:\FR\FM\23MRN1.SGM 23MRN1

Agencies

[Federal Register Volume 70, Number 55 (Wednesday, March 23, 2005)]
[Notices]
[Page 14744]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-5644]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Comment 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 Pub. L. 104-
13, the Paperwork Reduction Act of 1995, effective October 1, 1995. The 
information collection packages 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 Office of Management and Budget and the SSA Reports 
Clearance Officer and the Office of Management and Budget. The 
information can be mailed and/or faxed to the addresses and fax numbers 
listed below:

(OMB), Office of Management and Budget, Fax: 202-395-6974.
(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 have been submitted to OMB 
for clearance. In order for your comments to be considered you must 
send them within 30 days from the date of publication of this notice. 
You can request a copy of the OMB clearance packages by email to 
OPLM.RCO@ssa.gov or by calling the SSA Reports Clearance Officer at 
(410) 965-0454.
    1. Application for Help with Medicare Prescription Drug Plan Costs, 
SSA-1020-SC--0960-NEW. The Medicare Prescription Drug, Improvement, and 
Modernization Act of 2003 (Pub. L. 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 (Pub. L. 
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: March 17, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 05-5644 Filed 3-22-05; 8:45 am]
BILLING CODE 4191-02-P
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