Agency Information Collection Activities: Comment Request, 45079-45081 [E7-15663]
Download as PDF
<![CDATA[
Federal Register / Vol. 72, No. 154 / Friday, August 10, 2007 / Notices
and NYSE Regulation to ensure that
their arbitration programs are fully
consolidated in a timely and efficient
manner, without any further delay or
uncertainty.
For these reasons, the Commission
finds good cause, consistent with
section 19(b)(2) of the Act, to grant
accelerated approval to the proposed
rule change.
V. Conclusion
It is therefore ordered, pursuant to
section 19(b)(2) of the Act 17 that the
proposed rule change, as modified by
Amendment No. 1 (SR–NYSE–2007–48),
be, and hereby is, approved on an
accelerated basis.
For the Commission, by the Division of
Market Regulation, pursuant to delegated
authority.18
Florence E. Harmon,
Deputy Secretary.
[FR Doc. E7–15619 Filed 8–9–07; 8:45 am]
(SSA), Social Security Administration,
DCBFM, Attn: Reports Clearance
Officer, 1333 Annex Building, 6401
Security Blvd., Baltimore, MD
21235,Fax: 410–965–6400, E-mail
address: OPLM.RCO@ssa.gov
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
emailing OPLM.RCO@ssa.gov.
1. Consent Based Social Security
Number Verification Process—0960–
NEW.
Note: Please note that we published the 60day Federal Register Notice for this collection
on December 30, 2005, at 70 FR 77439. For
the year and a half following that date, we
have communicated with multiple
businesses interested in this collection and
have significantly altered our business
process plan based on their comments.
BILLING CODE 8010–01–P
Background
SOCIAL SECURITY ADMINISTRATION
sroberts on PROD1PC70 with PROPOSALS
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
Public Law 104–13, the Paperwork
Reduction Act of 1995, effective October
1, 1995. The information collection
packages that are included in this notice
are for new information collections and
revisions to 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
Officer and the SSA Reports Clearance
Officer. The information can be mailed,
faxed or emailed 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, E-mail address:
OIRA_Submission@omb.eop.gov
17 15
18 17
U.S.C. 78s(b)(2).
CFR 200.30–3(a)(12).
VerDate Aug<31>2005
16:37 Aug 09, 2007
Jkt 211001
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
PO 00000
Frm 00074
Fmt 4703
Sfmt 4703
45079
inherent cost and workload
management benefits.
SSA is in the planning stage of
developing the Agency’s second phase
of the fee-based web service system
which would provide private industry
and other third party requesters with
disability and retirement data (including
insured status information, dates of
entitlement, and benefit amounts). This
process, the Consent Based Benefit
Information System (CBBI), would assist
private insurance or pension benefit
companies to determine private
entitlements and coordinate entitlement
to such benefits. These actions help the
requesters to reduce and/or eliminate
the overpayment of these benefits to
their insured clients. Similar to the
CBSV process, companies would be
required to enter into a legal agreement
with SSA, obtain written consent from
the record holder, reimburse SSA, and
follow SSA’s established systems
security and audit guidelines.
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
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) or obtain real-time
results using a web service application
or SSA’s Business Services Online
(BSO) application. 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). If batch mode was
used, 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 seven 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
E:\FR\FM\10AUN1.SGM
10AUN1
45080
Federal Register / Vol. 72, No. 154 / Friday, August 10, 2007 / Notices
‘‘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.
Time Burden
Participating Companies:
Number of
respondents
Requirement
Frequency of
response
Average
burden per
response
(minutes)
Estimated
annual burden
hours
Registration process ........................................................................................
Creation of file with SSN holder identification data; maintaining required
documentation/forms ....................................................................................
Using the system to upload request file, check status, and download results
file .................................................................................................................
Storing and maintenance of consent forms .....................................................
Activities related to compliance review ............................................................
90
1
120
180
90
*251
60
22,590
90
90
90
251
251
251
5
60
60
1,883
22,590
22,590
Total ..........................................................................................................
........................
........................
........................
69,833
* Please note there are 251 Federal business days per year on which a requesting party could submit a file.
People Whose SSNs Will Be Verified:
Number of
respondents
Requirement
Frequency of
response
Average
burden per
response
(minutes)
Estimated
annual burden
hours
Reading and signing authorization for SSA to release SSN verification ........
Responding to CPA re-contact ........................................................................
10,000,000
4,500
1
1
3
5
500,000
375
Total ..........................................................................................................
........................
........................
........................
500,375
CPAs (conducting compliance review
and preparing written report of
findings):
Number of Respondents: 90.
Frequency of Response: 1.
Average Burden Per Response: 4,800.
Estimated Annual Burden: 7,200
hours.
Total Collective Burden: 577,408
hours.
sroberts on PROD1PC70 with PROPOSALS
Cost Burden
The public burden cost is dependent
upon the number of companies and
transactions. The first year cost
estimates below are based upon 90
participating companies submitting a
total of 10 million transactions. The
total cost for developing the system is
$5.6 million. $2.6 million will be
required prior to development of the
system. The $3.0 million that SSA has
already expended will be recouped over
1 The annual costs associated with the
transactions to each company are dependent upon
the number of SSN transactions submitted to SSA
by the company on a yearly basis. For example, if
a company anticipates submitting 1 million
requests to SSA for the year, their total transaction
cost for the year would be $0.27 × 1,000,000 or
VerDate Aug<31>2005
16:37 Aug 09, 2007
Jkt 211001
the depreciable life of the system based
on the fee per transaction model.
• One-Time Per Company Registration
Fee—$5,000
• Estimated Per SSN Transaction Fee—
$0.27 1
• Estimated Per Company Cost To Build
Web Service—$200,000 2
• Estimated Per Company Cost To Store
Consent Forms—$20,000
• Estimated Per Company Cost To
Contract With CPA for Audit—$8,000
SSA will hold an ‘‘open enrollment’’
season. If more than the estimated
number of companies enrolls, the
estimated per SSN transaction fee cited
above could be less.
2. Medicare Quality Review Forms—
20 CFR 418(b)(5)—0960–0707. The
Social Security Administration (SSA)
uses the Medicare Quality Review
Forms collection to verify the
information reported on Medicare Part
D Subsidy applications (OMB No. 0960–
0696) for a selected number of
applicants. SSA is planning to expand
the scope of this collection by
conducting Quality Reviews with some
current recipients of Medicare Part D
subsidies who have recently undergone
the redetermination process (OMB No.
0960–0723). This ICR is for two new
appointment letters (forms SSA–9313
and SSA–9314) that such beneficiaries
will complete to schedule an
appointment for their Quality Review.
The respondents are current recipients
of Medicare Part D subsidies who have
recently undergone a redetermination
and who were selected for a Quality
Review.
Type of Request: Revision to an
existing OMB-approved information
collection.
$270,000. Periodically, SSA will calculate its costs
to provide CBSV services and adjust the fee charged
as needed. Companies will be notified in writing of
any change and will have the opportunity to cancel
the agreement or continue service using the new
transaction fee.
2 A company may choose to submit batch files via
the SSA Web site or submit real-time individual
requests via the SSA Web site. There is no public
burden cost with either of these methods of using
the CBSV system.
PO 00000
Frm 00075
Fmt 4703
Sfmt 4703
E:\FR\FM\10AUN1.SGM
10AUN1
45081
Federal Register / Vol. 72, No. 154 / Friday, August 10, 2007 / Notices
Number of respondents
Form No. and name
SSA–9301 (Medicare Subsidy Quality Review Case Analysis Questionnaire)
SSA–9302 (Notice of Quality Review Acknowledgement Form for those with
Phones) ........................................................................................................
SSA–9303 (Notice of Quality Review Acknowledgement Form for those
without Phones) ...........................................................................................
SSA–9304 (Checklist of Required Information; burden accounted for with
forms SSA–9302, SSA–9303) .....................................................................
SSA–9308 (Request for Information) ..............................................................
SSA–9310 (Request for Documents) ..............................................................
SSA–9309 (Life Insurance Verification Form) .................................................
SSA–8510 (Authorization to the Social Security Administration to Obtain
Personal Information) ...................................................................................
SSA–9313 (Notice of Appointment Quality Review Acknowledgement
Form)* ..........................................................................................................
SSA–9314 (Notice of Quality Review Acknowledgement Form (unknown
phone numbers)* ..........................................................................................
Total ..........................................................................................................
Frequency of
response
Average burden per response
(minutes)
Estimated annual burden
hours
10,000
1
35
5,833
10,000
1
15
2,500
1,000
1
15
250
........................
20,000
10,000
8,000
........................
1
1
1
........................
15
5
15
........................
5,000
833
2,000
10,000
1
5
833
4,500
1
15
1,125
500
1
15
125
........................
........................
........................
18,499
* These are the two new forms being cleared in the current ICR for this collection.
Dated: August 7, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security
Administration.
[FR Doc. E7–15663 Filed 8–9–07; 8:45 am]
BILLING CODE 4191–02–P
DEPARTMENT OF STATE
[Public Notice 5882]
sroberts on PROD1PC70 with PROPOSALS
Culturally Significant Objects Imported
for Exhibition Determinations;
‘‘Pompeo Batoni: Prince of Painters in
Eighteenth Century Rome’’
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
October 1, 1999, Delegation of Authority
No. 236 of October 19, 1999, as
amended, and Delegation of Authority
No. 257 of April 15, 2003 [68 FR 19875],
I hereby determine that the objects to be
included in the exhibition ‘‘Pompeo
Batoni: Prince of Painters in Eighteenth
Century Rome’’ imported from abroad
for temporary exhibition within the
United States, are of cultural
significance. The objects are imported
pursuant to loan agreements with the
foreign owners or custodians. I also
determine that the exhibition or display
of the exhibit objects at the Museum of
Fine Arts, Houston, Houston, Texas,
from on or about October 21, 2007, until
on or about January 28, 2008, and at
possible additional exhibitions or
VerDate Aug<31>2005
16:37 Aug 09, 2007
Jkt 211001
venues yet to be determined, is in the
national interest. Public Notice of these
Determinations is ordered to be
published in the Federal Register.
FOR FURTHER INFORMATION CONTACT: For
further information, including a list of
the exhibit objects, contact Wolodymyr
Sulzynsky, Attorney-Adviser, Office of
the Legal Adviser, U.S. Department of
State (telephone: 202/453–8050). The
address is U.S. Department of State, SA–
44, 301 4th Street, SW., Room 700,
Washington, DC 20547–0001.
Dated: August 2, 2007.
C. Miller Crouch,
Principal Deputy Assistant Secretary for
Educational and Cultural Affairs, Department
of State.
[FR Doc. E7–15690 Filed 8–9–07; 8:45 am]
BILLING CODE 4710–05–P
DEPARTMENT OF STATE
[Public Notice 5880]
State-59 Refugee Case Records
SUMMARY: Notice is hereby given that
the Department of State proposes to
alter an existing system of records,
STATE–59, pursuant to the provisions
of the Privacy Act of 1974, as amended
(5 U.S.C.(r)), and Office of Management
and Budget Circular No. A–130,
Appendix I. The Department’s report
was filed with the Office of Management
and Budget on July 10, 2007.
It is proposed that the current system
will retain the name ‘‘Refugee Case
Records.’’ It is also proposed that due to
the expanded scope of the current
system, the altered system description
will include revisions and/or additions
to the following sections: System
PO 00000
Frm 00076
Fmt 4703
Sfmt 4703
Location; Categories of Individuals
covered by the System; Authority for
Maintenance of the System; and Routine
Uses of Records Maintained in the
System, Including Categories of Users
and Purposes of such Uses. Changes to
the existing system description are
proposed in order to reflect more
accurately the Bureau of Population,
Refugees, and Migration record-keeping
system, the Authority establishing its
existence and responsibilities, and the
uses and users of the system.
Any persons interested in
commenting on the altered system of
records may do so by submitting
comments in writing to Margaret P.
Grafeld, Director; Office of Information
Programs and Services; A/ISS/IPS;
Department of State, SA–2; Washington,
DC 20522–8100. This system of records
will be effective 40 days from the date
of publication, unless we receive
comments that will result in a contrary
determination.
The altered system description,
‘‘Refugee Case Records, State-59,’’ will
read as set forth below.
Dated: July 9, 2007.
Raj Chellaraj,
Assistant Secretary for the Bureau of
Administration,Department of State.
STATE–59
SYSTEM NAME:
Refugee Case Records.
SECURITY CLASSIFICATION:
Unclassified.
SYSTEM LOCATION:
(1) Refugee processing posts, that is,
designated U.S. embassies, consulates
and/or offices of overseas processing
entities (agencies under cooperative
E:\FR\FM\10AUN1.SGM
10AUN1
]]>Agencies
[Federal Register Volume 72, Number 154 (Friday, August 10, 2007)]
[Notices]
[Pages 45079-45081]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-15663]
=======================================================================
-----------------------------------------------------------------------
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 Public Law
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995.
The information collection packages that are included in this notice
are for new information collections and revisions to 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 Officer and the SSA Reports Clearance
Officer. The information can be mailed, faxed or emailed 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, E-mail address: OIRA--Submission@omb.eop.gov
(SSA), Social Security Administration, DCBFM, Attn: Reports Clearance
Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore, MD
21235,Fax: 410-965-6400, E-mail address: OPLM.RCO@ssa.gov
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 emailing OPLM.RCO@ssa.gov.
1. Consent Based Social Security Number Verification Process--0960-
NEW.
Note: Please note that we published the 60-day Federal Register
Notice for this collection on December 30, 2005, at 70 FR 77439. For
the year and a half following that date, we have communicated with
multiple businesses interested in this collection and have
significantly altered our business process plan based on their
comments.
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.
SSA is in the planning stage of developing the Agency's second
phase of the fee-based web service system which would provide private
industry and other third party requesters with disability and
retirement data (including insured status information, dates of
entitlement, and benefit amounts). This process, the Consent Based
Benefit Information System (CBBI), would assist private insurance or
pension benefit companies to determine private entitlements and
coordinate entitlement to such benefits. These actions help the
requesters to reduce and/or eliminate the overpayment of these benefits
to their insured clients. Similar to the CBSV process, companies would
be required to enter into a legal agreement with SSA, obtain written
consent from the record holder, reimburse SSA, and follow SSA's
established systems security and audit guidelines.
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 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) or obtain
real-time results using a web service application or SSA's Business
Services Online (BSO) application. 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). If batch mode was used,
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
seven 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
[[Page 45080]]
``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.
Time Burden
Participating Companies:
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Requirement respondents response response annual burden
(minutes) hours
----------------------------------------------------------------------------------------------------------------
Registration process............................ 90 1 120 180
Creation of file with SSN holder identification 90 *251 60 22,590
data; maintaining required documentation/forms.
Using the system to upload request file, check 90 251 5 1,883
status, and download results file..............
Storing and maintenance of consent forms........ 90 251 60 22,590
Activities related to compliance review......... 90 251 60 22,590
---------------------------------------------------------------
Total....................................... .............. .............. .............. 69,833
----------------------------------------------------------------------------------------------------------------
* Please note there are 251 Federal business days per year on which a requesting party could submit a file.
People Whose SSNs Will Be Verified:
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Requirement respondents response response annual burden
(minutes) hours
----------------------------------------------------------------------------------------------------------------
Reading and signing authorization for SSA to 10,000,000 1 3 500,000
release SSN verification.......................
Responding to CPA re-contact.................... 4,500 1 5 375
---------------------------------------------------------------
Total....................................... .............. .............. .............. 500,375
----------------------------------------------------------------------------------------------------------------
CPAs (conducting compliance review and preparing written report of
findings):
Number of Respondents: 90.
Frequency of Response: 1.
Average Burden Per Response: 4,800.
Estimated Annual Burden: 7,200 hours.
Total Collective Burden: 577,408 hours.
Cost Burden
The public burden cost is dependent upon the number of companies
and transactions. The first year cost estimates below are based upon 90
participating companies submitting a total of 10 million transactions.
The total cost for developing the system is $5.6 million. $2.6 million
will be required prior to development of the system. The $3.0 million
that SSA has already expended will be recouped over the depreciable
life of the system based on the fee per transaction model.
One-Time Per Company Registration Fee--$5,000
Estimated Per SSN Transaction Fee--$0.27 \1\
---------------------------------------------------------------------------
\1\ The annual costs associated with the transactions to each
company are dependent upon the number of SSN transactions submitted
to SSA by the company on a yearly basis. For example, if a company
anticipates submitting 1 million requests to SSA for the year, their
total transaction cost for the year would be $0.27 x 1,000,000 or
$270,000. Periodically, SSA will calculate its costs to provide CBSV
services and adjust the fee charged as needed. Companies will be
notified in writing of any change and will have the opportunity to
cancel the agreement or continue service using the new transaction
fee.
---------------------------------------------------------------------------
Estimated Per Company Cost To Build Web Service--$200,000 \2\
---------------------------------------------------------------------------
\2\ A company may choose to submit batch files via the SSA Web
site or submit real-time individual requests via the SSA Web site.
There is no public burden cost with either of these methods of using
the CBSV system.
---------------------------------------------------------------------------
Estimated Per Company Cost To Store Consent Forms--$20,000
Estimated Per Company Cost To Contract With CPA for Audit--
$8,000
SSA will hold an ``open enrollment'' season. If more than the
estimated number of companies enrolls, the estimated per SSN
transaction fee cited above could be less.
2. Medicare Quality Review Forms--20 CFR 418(b)(5)--0960-0707. The
Social Security Administration (SSA) uses the Medicare Quality Review
Forms collection to verify the information reported on Medicare Part D
Subsidy applications (OMB No. 0960-0696) for a selected number of
applicants. SSA is planning to expand the scope of this collection by
conducting Quality Reviews with some current recipients of Medicare
Part D subsidies who have recently undergone the redetermination
process (OMB No. 0960-0723). This ICR is for two new appointment
letters (forms SSA-9313 and SSA-9314) that such beneficiaries will
complete to schedule an appointment for their Quality Review. The
respondents are current recipients of Medicare Part D subsidies who
have recently undergone a redetermination and who were selected for a
Quality Review.
Type of Request: Revision to an existing OMB-approved information
collection.
[[Page 45081]]
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Form No. and name Number of Frequency of per response annual burden
respondents response (minutes) hours
----------------------------------------------------------------------------------------------------------------
SSA-9301 (Medicare Subsidy Quality Review Case 10,000 1 35 5,833
Analysis Questionnaire)........................
SSA-9302 (Notice of Quality Review 10,000 1 15 2,500
Acknowledgement Form for those with Phones)....
SSA-9303 (Notice of Quality Review 1,000 1 15 250
Acknowledgement Form for those without Phones).
SSA-9304 (Checklist of Required Information; .............. .............. .............. ..............
burden accounted for with forms SSA-9302, SSA-
9303)..........................................
SSA-9308 (Request for Information).............. 20,000 1 15 5,000
SSA-9310 (Request for Documents)................ 10,000 1 5 833
SSA-9309 (Life Insurance Verification Form)..... 8,000 1 15 2,000
SSA-8510 (Authorization to the Social Security 10,000 1 5 833
Administration to Obtain Personal Information).
SSA-9313 (Notice of Appointment Quality Review 4,500 1 15 1,125
Acknowledgement Form)*.........................
SSA-9314 (Notice of Quality Review 500 1 15 125
Acknowledgement Form (unknown phone numbers)*..
---------------------------------------------------------------
Total....................................... .............. .............. .............. 18,499
----------------------------------------------------------------------------------------------------------------
* These are the two new forms being cleared in the current ICR for this collection.
Dated: August 7, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E7-15663 Filed 8-9-07; 8:45 am]
BILLING CODE 4191-02-P
