Agency Information Collection Activities: Proposed Request, 77438-77439 [E5-8094]

Download as PDF 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). VerDate Aug<31>2005 18:16 Dec 29, 2005 Jkt 208001 PO 00000 Frm 00067 Fmt 4703 Sfmt 4703 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. VerDate Aug<31>2005 18:16 Dec 29, 2005 Jkt 208001 PO 00000 Frm 00068 Fmt 4703 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]


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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 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