Agency Information Collection Activities: Proposed Request and Comment Request, 58041-58043 [E6-16171]
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Federal Register / Vol. 71, No. 190 / Monday, October 2, 2006 / Notices
litigation is likely to affect the agency or
any of its components.
j. In a proceeding before a court, or
adjudicative body, or a dispute
resolution body before which the agency
is authorized to appear or before which
any of the following is a party to
litigation or has an interest in litigation,
provided, however, that the agency
determines that the use of such records
is relevant and necessary to the
litigation, and that, in each case, the
agency determines that disclosure of the
records to a court or other adjudicative
body is a use of the information
contained in the records that is
compatible with the purpose for which
the records were collected:
(1) The agency, or any component
thereof;
(2) Any employee of the agency in his
or her official capacity;
(3) Any employee of the agency in his
or her individual capacity where the
DOJ has agreed to represent the
employee; or
(4) The United States Government,
where the agency determines that
litigation is likely to affect the agency or
any of its components.
POLICIES AND PRACTICES FOR STORING,
RETRIEVING, ACCESSING, RETAINING, AND
DISPOSING OF RECORDS:
STORAGE:
Records are stored in electronic media
and in paper files and not on the card.
RETRIEVABILITY:
Records are retrievable by name,
social security number, PIV card serial
number, or Card Holder Unique
Identification Number.
rmajette on PROD1PC67 with NOTICES1
SAFEGUARDS:
Paper records are kept in locked
cabinets in secure facilities and access
to them is restricted to individuals
whose role requires use of the records.
Access to facilities will be controlled by
the PIV card. The System requires a PIV
card to log on and to digitally sign
transactions. The computer servers in
which records are stored are located in
facilities that are secured by alarm
systems and off-master key access. The
computer servers themselves are
password-protected. Access to
individuals working at guard stations is
password-protected; each person
granted access to the system at guard
stations must be individually authorized
to use the system. A Privacy Act
Warning Notice appears on the monitor
screen when records containing
information on individuals are first
displayed. Data exchanged between the
servers and the client PCs at the guard
stations and badging office are
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15:07 Sep 29, 2006
Jkt 211001
encrypted. Backup tapes are stored in a
locked and controlled room in a secure,
off-site location.
An audit trail is maintained and
reviewed periodically to identify
unauthorized access. Persons given
roles in the PIV process must complete
training specific to their roles to ensure
they are knowledgeable about how to
protect individually identifiable
information. The system uses the high
risk confidentiality and integrity
security controls specified in the
National Institute of Standards and
Technology Special Publication 800–53.
RETENTION AND DISPOSAL:
Records relating to persons covered
by this system are retained in
accordance with General Records
Schedule 18, Item 17. Unless retained
for specific, ongoing security
investigations, for maximum security
facilities, records of access are
maintained for five years and then
destroyed by wiping hard drives and
shredding paper. For other facilities,
records are maintained for two years
and then destroyed by wiping hard
drives and shredding paper. All other
records relating to employees are
destroyed two years after ID security
card expiration date.
In accordance with FIPS 201–1, PIV
Cards are deactivated within 18 hours of
cardholder separation, notification of
loss of card, or expiration. The
information on PIV Cards is maintained
in accordance with General Records
Schedule 11, Item 4. PIV Cards that are
turned in for destruction are shredded
within 90 days.
SYSTEM MANAGER(S) AND ADDRESSES:
Assistant Administrator/Human
Capital Management, United States
Small Business Administration, 409 3rd
Street, SW., Washington, DC 20416.
Associate Administrator for Disaster
Assistance, United States Small
Business Administration, 409 3rd Street,
SW., Washington, DC 20416. This
responsibility may be delegated.
NOTIFICATION PROCEDURES:
An individual may submit a record
inquiry either in person or in writing to
the System Manager or the Senior
Agency Official for Privacy. When
requesting notification of or access to
records covered by this Notice, an
individual should provide his/her full
name, date of birth, and work location.
An individual requesting notification of
records in person must provide identity
documents sufficient to satisfy the
custodian of the records that the
requester is entitled to access, such as
a government-issued photo ID.
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58041
Individuals requesting notification via
mail or telephone must furnish, at
minimum, name, date of birth, social
security number, and home address in
order to establish identity.
ACCESS PROCEDURES:
The Systems Manager or Senior
Agency Official for Privacy will
determine the process. Requesters
should reasonably specify the record
contents being sought.
CONTESTING PROCEDURES:
Same as notification procedures.
Requesters should also reasonably
identify the record, specify the
information they are contesting, state
the corrective action sought and the
reasons for the correction along with
supporting justification showing why
the record is not accurate, timely,
relevant, or complete.
SOURCE CATEGORIES:
Employee, contractor, or applicant;
sponsoring SBA; former sponsoring
SBA; other Federal agencies; contract
employer; former employer.
Dated: September 22, 2006.
Christine Liu,
Departmental Privacy Officer.
[FR Doc. E6–15848 Filed 9–29–06; 8:45 am]
BILLING CODE 8025–01–P
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Proposed Request and
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
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, 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 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 OMB Desk
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rmajette on PROD1PC67 with NOTICES1
58042
Federal Register / Vol. 71, No. 190 / Monday, October 2, 2006 / Notices
Officer and the SSA Reports Clearance
Officer. The information can be mailed
and/or faxed to the individuals at the
addresses and fax numbers listed below:
(OMB), Office of Management and
Budget, Attn: Desk Officer for SSA, Fax:
202–395–6974.
(SSA), Social Security
Administration, DCFAM, Attn: Reports
Clearance Officer, 1333 Annex Building,
6401 Security Blvd., Baltimore, MD
21235, Fax: 410–965–6400.
I. 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. Certification of Period of
Temporary Institutionalization and
Need to Maintain Home—20 CFR
416.212(b)(1)—0960–0516. SSA is
required by law to collect the
information necessary to establish
eligibility for continued Supplemental
Security Income (SSI) benefits for
temporarily institutionalized
individuals. Sections 1611(e)(1)(G)&(H)
of the Social Security Act require the
Commissioner to establish procedures
for determining that a physician has
certified that the period of confinement
is not likely to exceed 3 months, and for
determining that the recipient needs to
continue to maintain and provide for
the expense of a home or living
arrangement.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 60,000.
Frequency of Response: 1.
Average Burden Per Response: 5
minutes.
Estimated Annual Burden: 5,000
hours.
2. Representative Payee Report—20
CFR 404.2035, 404.2065, 416.635, and
416.665—0960–0068. SSA uses forms
SSA–623 and SSA–6230 to determine if
(1) payments sent to individual
representative payees have been used
for Social Security beneficiaries’ current
maintenance and personal needs and (2)
the representative payee continues to be
a capable representative concerned with
the beneficiary’s welfare. The
respondents are individual
representative payees for recipients of
Social Security benefits.
Type of Request: Revision to an OMBapproved information collection
Number of Respondents: 5,500,000.
Frequency of Response: 1.
VerDate Aug<31>2005
15:07 Sep 29, 2006
Jkt 211001
Average Burden Per Response: 15
minutes.
Estimated Annual Burden: 1,375,000
hours.
3. Representative Payee Report—20
CFR 404.265 and 416.665—0960–0691.
Form SSA–6234 is used to collect
information from organizational
representative payees, such as
institutions, to determine if (1)
payments sent to these representative
payees have been used for Social
Security beneficiaries’ current
maintenance and personal needs; (2) the
representative payees continue to be
capable representatives concerned with
beneficiaries’ welfare; and (3) the
representative payee organization is
charging the beneficiary a fee, and if so,
the amount of the fee. The respondents
are organizational representative payees.
Type of Request: Revision of an OMBapproved collection.
Number of Respondents: 750,000.
Frequency of Response: 1.
Average Burden Per Response: 15
minutes.
Estimated Annual Burden: 187,500.
II. The information collections listed
below have been submitted to OMB for
clearance. Your comments on the
information collections would be most
useful if received by OMB and SSA
within 30 days from the date of this
publication. You can obtain a copy of
the OMB clearance packages by calling
the SSA Reports Clearance Officer at
410–965–0454, or by writing to the
address listed above.
1. Annual Earnings Test Direct Mail
Follow-Up Program Notices—20 CFR
404.452–404.455—0960–0369. The MidYear Mailer (MYM) is used to ensure
that Retirement Survivors Insurance
(RSI) payments are correct. Beneficiaries
under full retirement age (FRA) use
Forms SSA–L9778, L9779, and L9781 to
update their current year estimate and
their estimate for the following year.
MYM Forms SSA–L9784 and L9785 are
designed to request earnings estimates
in the year of FRA for the period prior
to the month of FRA. Only one
individually tailored Form is sent per
respondent. Respondents are RSI
beneficiaries with earnings over the
exempt amount.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 225,000.
Frequency of Response: 1.
Average Burden Per Response: 10
minutes.
Estimated Annual Burden: 37,500
hours.
2. Internet Request for Replacement of
Forms SSA–1099/SSA–1042S—20 CFR
401.45—0960–0583. The information
collected will be used by SSA to verify
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Fmt 4703
Sfmt 4703
identity and to provide replacement
copies of Forms SSA–1099/SSA–1042S
needed to prepare Federal tax returns.
This internet option to request a
replacement SSA–1099/SSA–1042S will
eliminate the need for a phone call to
the national 800 number or a visit to a
local field office. The respondents are
beneficiaries who are requesting a
replacement SSA–1099/SSA–1042S.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 21,000.
Frequency of Response: 1.
Average Burden Per Response: 1.5
minutes.
Estimated Annual Burden: 525 hours.
3. SSA Survey of Online Services
Internet Panel—0960–NEW. SSA plans
to conduct an online panel survey with
pre-retirement individuals. The survey
will ask a number of questions about
participants’ experiences with SSA’s
Internet-based services. The results of
the survey will be used to assess
awareness of SSA Internet-based
services and to identify ways to increase
awareness of these services in the preretirement population. The respondents
are individuals ages 50–67 who are
employed and who have agreed to be
contacted via e-maill for online surveys.
Type of Request: New information
collection.
Number of Respondents: 1,000.
Frequency of Response: 1.
Average Burden Per Response: 15
minutes.
Estimated Annual Burden: 250 hours.
4. Medicare Part B Income-Related
Premium—Life-Changing Event Form—
0960–NEW. As per the Medicare
Modernization Act of 2003, beginning in
January 2007 selected beneficiaries of
Medicare Part B insurance will have to
pay a new income-related monthly
adjustment amount (IRMAA). The
amount of the IRMAA is based on
income tax return data obtained from
the Internal Revenue Service. If affected
Medicare Part B beneficiaries believe
that more recent tax data should be used
because a life-changing event has
occurred that significantly reduces their
income, they can report these changes to
SSA and ask for a new initial
determination of their IRMAA. SSA
believes that most respondents will go
to a field office and do this in person;
however, some respondents may choose
to contact SSA by mail and they can use
form SSA–44, the Medicare Part B
Income-Related Premium—LifeChanging Event form. The respondents
are Medicare Part B beneficiaries who
want SSA to use more recent income
data in determining the amount of their
IRMAA.
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58043
Federal Register / Vol. 71, No. 190 / Monday, October 2, 2006 / Notices
Type of Request: New information
collection.
Method of information
collection
Number of
respondents
Average
burden per
response
(minutes)
Frequency of
response
Estimated
annual
burden
(hours)
Personal Interview ...........................................................................................
Form .................................................................................................................
68,490
7,610
1
1
60
90
68,490
11,415
Total ..........................................................................................................
76,100
........................
........................
79,905
Total Burden Hours: 79,905 hours.
Dated: September 26, 2006.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. E6–16171 Filed 9–29–06; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
Registration Requirements for
Representatives to Receive Direct
Payment of Fees Approved for
Services Provided Before the Social
Security Administration or a Federal
Court and Forms 1099–MISC
AGENCY:
Social Security Administration
(SSA).
rmajette on PROD1PC67 with NOTICES1
ACTION:
Notice.
SUMMARY: We are issuing this notice to
advise attorneys and non-attorneys who
represent claimants before SSA, and
attorneys who represent Social Security
or Supplemental Security Income
claimants before the Federal courts, that
the requirements a representative must
meet for SSA to pay the approved fee,
or a part of the approved fee, directly to
the representative from a claimant’s
past-due benefits will change effective
January 1, 2007. Currently, SSA pays all
or part of the fee we approve to the
claimant’s representative from his or her
past-due benefits if the representative is
an attorney or a non-attorney participant
in SSA’s direct fee payment
demonstration project. SSA also pays all
or part of the fee a Federal court
approves directly to an attorney from a
claimant’s past-due benefits. SSA must
expand the information a representative
is required to submit to SSA in order for
SSA to pay a fee directly because
sections 6041(a) and 6045(f) of the
Internal Revenue Code (IRC), as
implemented by 26 CFR 1.6041–1,
require SSA to issue a Form 1099–MISC
to each representative who receives, by
direct payment from SSA, aggregate fees
of $600 or more in a calendar year. To
meet this requirement, a person whom
a claimant appoints to represent him or
her before SSA after December 31, 2006,
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15:07 Sep 29, 2006
Jkt 211001
who is otherwise eligible for direct fee
payment, and an attorney for whom a
Federal court approves a fee on or after
January 1, 2007, must provide SSA with
his or her Social Security Number (SSN)
as a prerequisite for SSA to pay a fee
directly to the representative.
FOR FURTHER INFORMATION CONTACT:
Everett Jackson, Social Security
Administration, Office of Budget,
Finance and Management, 2–K–5 East
Low Rise, 6401 Security Boulevard,
Baltimore, MD 21235–6401, (410) 965–
0014, e-mail Everett.Jackson@ssa.gov.
SUPPLEMENTARY INFORMATION: Pursuant
to sections 206 and 1631(d)(2) of the
Social Security Act (Act), SSA:
• Determines the maximum fee an
attorney or non-attorney representative
may charge and collect for services the
representative provided before SSA in a
claim under title II or title XVI of the
Act; and
• Pays the fee, or part of the fee, that
was approved by the Commissioner of
Social Security (Commissioner) or by a
Federal court, under title II or title XVI,
directly to an attorney out of a portion
of the claimant’s past-due benefits.
42 U.S.C. 406 and 42 U.S.C. 1383(d)(2).
Additionally, section 303 of the Social
Security Protection Act of 2004 (SSPA),
Public Law 108–203, directs the
Commissioner to carry out a 5-year
nationwide demonstration project that
extends the fee withholding and direct
payment procedures that apply to
attorneys under titles II and XVI of the
Act to non-attorney representatives who
meet certain prerequisites. This
demonstration project commenced on
February 28, 2005. Therefore, SSA is
now paying directly to attorneys and
non-attorney participants in the direct
payment demonstration project fees we
approve for administrative services, and
to attorneys fees Federal courts approve
for services before the courts.
The Debt Collection Improvement Act
of 1996 (DCIA), Public Law 104–134,
mandates that each federal agency
require persons ‘‘doing business with
that agency’’ to provide the agency with
his or her taxpayer identification
number (TIN). 31 U.S.C. 7701. Under
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Fmt 4703
Sfmt 4703
the DCIA, a person is considered to be
doing business with an agency if the
person is assessed a fee by the agency.
Because SSA is required by sections
206(d) and 1631(d)(2)(C) of the Act to
assess a fee on attorneys and eligible
non-attorneys each time that SSA
directly pays representational fees to
them, SSA is doing business with
representatives whom we directly pay.
The DCIA also requires that, when a
federal agency disburses money, it must
include the TIN on each certified
voucher submitted to a disbursing
official. For individuals, the TIN is
generally the SSN. 26 U.S.C. 6109. This
means that, when SSA certifies for
direct payment or directly pays a fee to
a representative, SSA must include the
representative’s SSN on the payment
voucher it submits to the Department of
the Treasury. Accordingly, to comply
with the DCIA’s requirement that we
obtain an SSN from each representative
to whom we directly pay a fee and
provide that SSN on each payment
voucher to the Department of the
Treasury, when a claimant has
appointed a representative on January 1,
2007 or later, or when a Federal court
has approved a fee on January 1, 2007
or later, SSA requires that the
representative provide his or her SSN to
SSA before SSA implements a favorable
administrative determination or
decision or before SSA acts on a Federal
court’s fee approval, as a condition for
SSA to directly pay a fee or a portion
of the fee to the representative from a
claimant’s past-due benefits.
Pursuant to sections 6041(a) and
6045(f) of the IRC, as implemented by
26 CFR 1.6041–1, SSA is required to
issue a Form 1099–MISC to each
representative who receives, by direct
payment from SSA, aggregate fees of
$600 or more in a calendar year. Per
section 6109 of the IRC, each
representative must provide SSA with
his or her TIN. Generally, the Internal
Revenue Service (IRS) Form W–9 is
used to obtain the TIN. However, as
allowed by the IRS, SSA is developing
a substitute form, Form SSA–1699,
Request for Appointed Representative’s
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]]>Agencies
[Federal Register Volume 71, Number 190 (Monday, October 2, 2006)]
[Notices]
[Pages 58041-58043]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-16171]
=======================================================================
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Request and
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 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, approval of existing information
collections, revisions to OMB-approved information collections, and
extensions (no change) of OMB-approved 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 OMB Desk
[[Page 58042]]
Officer and the SSA Reports Clearance Officer. The information can be
mailed and/or faxed to the individuals at the addresses and fax numbers
listed below:
(OMB), Office of Management and Budget, Attn: Desk Officer for SSA,
Fax: 202-395-6974.
(SSA), Social Security Administration, DCFAM, Attn: Reports
Clearance Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore,
MD 21235, Fax: 410-965-6400.
I. 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. Certification of Period of Temporary Institutionalization and
Need to Maintain Home--20 CFR 416.212(b)(1)--0960-0516. SSA is required
by law to collect the information necessary to establish eligibility
for continued Supplemental Security Income (SSI) benefits for
temporarily institutionalized individuals. Sections 1611(e)(1)(G)&(H)
of the Social Security Act require the Commissioner to establish
procedures for determining that a physician has certified that the
period of confinement is not likely to exceed 3 months, and for
determining that the recipient needs to continue to maintain and
provide for the expense of a home or living arrangement.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 60,000.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 5,000 hours.
2. Representative Payee Report--20 CFR 404.2035, 404.2065, 416.635,
and 416.665--0960-0068. SSA uses forms SSA-623 and SSA-6230 to
determine if (1) payments sent to individual representative payees have
been used for Social Security beneficiaries' current maintenance and
personal needs and (2) the representative payee continues to be a
capable representative concerned with the beneficiary's welfare. The
respondents are individual representative payees for recipients of
Social Security benefits.
Type of Request: Revision to an OMB-approved information collection
Number of Respondents: 5,500,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 1,375,000 hours.
3. Representative Payee Report--20 CFR 404.265 and 416.665--0960-
0691. Form SSA-6234 is used to collect information from organizational
representative payees, such as institutions, to determine if (1)
payments sent to these representative payees have been used for Social
Security beneficiaries' current maintenance and personal needs; (2) the
representative payees continue to be capable representatives concerned
with beneficiaries' welfare; and (3) the representative payee
organization is charging the beneficiary a fee, and if so, the amount
of the fee. The respondents are organizational representative payees.
Type of Request: Revision of an OMB-approved collection.
Number of Respondents: 750,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 187,500.
II. The information collections listed below have been submitted to
OMB for clearance. Your comments on the information collections would
be most useful if received by OMB and SSA within 30 days from the date
of this publication. You can obtain a copy of the OMB clearance
packages by calling the SSA Reports Clearance Officer at 410-965-0454,
or by writing to the address listed above.
1. Annual Earnings Test Direct Mail Follow-Up Program Notices--20
CFR 404.452-404.455--0960-0369. The Mid-Year Mailer (MYM) is used to
ensure that Retirement Survivors Insurance (RSI) payments are correct.
Beneficiaries under full retirement age (FRA) use Forms SSA-L9778,
L9779, and L9781 to update their current year estimate and their
estimate for the following year. MYM Forms SSA-L9784 and L9785 are
designed to request earnings estimates in the year of FRA for the
period prior to the month of FRA. Only one individually tailored Form
is sent per respondent. Respondents are RSI beneficiaries with earnings
over the exempt amount.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 225,000.
Frequency of Response: 1.
Average Burden Per Response: 10 minutes.
Estimated Annual Burden: 37,500 hours.
2. Internet Request for Replacement of Forms SSA-1099/SSA-1042S--20
CFR 401.45--0960-0583. The information collected will be used by SSA to
verify identity and to provide replacement copies of Forms SSA-1099/
SSA-1042S needed to prepare Federal tax returns. This internet option
to request a replacement SSA-1099/SSA-1042S will eliminate the need for
a phone call to the national 800 number or a visit to a local field
office. The respondents are beneficiaries who are requesting a
replacement SSA-1099/SSA-1042S.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 21,000.
Frequency of Response: 1.
Average Burden Per Response: 1.5 minutes.
Estimated Annual Burden: 525 hours.
3. SSA Survey of Online Services Internet Panel--0960-NEW. SSA
plans to conduct an online panel survey with pre-retirement
individuals. The survey will ask a number of questions about
participants' experiences with SSA's Internet-based services. The
results of the survey will be used to assess awareness of SSA Internet-
based services and to identify ways to increase awareness of these
services in the pre-retirement population. The respondents are
individuals ages 50-67 who are employed and who have agreed to be
contacted via e-maill for online surveys.
Type of Request: New information collection.
Number of Respondents: 1,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 250 hours.
4. Medicare Part B Income-Related Premium--Life-Changing Event
Form--0960-NEW. As per the Medicare Modernization Act of 2003,
beginning in January 2007 selected beneficiaries of Medicare Part B
insurance will have to pay a new income-related monthly adjustment
amount (IRMAA). The amount of the IRMAA is based on income tax return
data obtained from the Internal Revenue Service. If affected Medicare
Part B beneficiaries believe that more recent tax data should be used
because a life-changing event has occurred that significantly reduces
their income, they can report these changes to SSA and ask for a new
initial determination of their IRMAA. SSA believes that most
respondents will go to a field office and do this in person; however,
some respondents may choose to contact SSA by mail and they can use
form SSA-44, the Medicare Part B Income-Related Premium--Life-Changing
Event form. The respondents are Medicare Part B beneficiaries who want
SSA to use more recent income data in determining the amount of their
IRMAA.
[[Page 58043]]
Type of Request: New information collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Method of information collection respondents response response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Personal Interview.............................. 68,490 1 60 68,490
Form............................................ 7,610 1 90 11,415
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Total....................................... 76,100 .............. .............. 79,905
----------------------------------------------------------------------------------------------------------------
Total Burden Hours: 79,905 hours.
Dated: September 26, 2006.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E6-16171 Filed 9-29-06; 8:45 am]
BILLING CODE 4191-02-P
