Agency Information Collection Activities: Proposed Request and Comment Request, 41959-41961 [E9-19905]
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41959
Federal Register / Vol. 74, No. 159 / Wednesday, August 19, 2009 / Notices
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Proposed Request and
Comment Request
The Social Security Administration
(SSA) publishes a list of information
collection packages requiring clearance
by the Office of Management and
Budget (OMB) in compliance with
Public Law (Pub. L.) 104–13, the
Paperwork Reduction Act of 1995,
effective October 1, 1995. This notice
includes revisions and extensions of
OMB-approved information collections
and a new collection.
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. Mail, email, or
fax your comments and
recommendations on the information
collection(s) to the OMB Desk Officer
and the SSA Director for Reports
Clearance to the addresses or fax
numbers shown below.
(OMB), Office of Management and
Budget, Attn: Desk Officer for SSA,
Type of response
(as explained below)
Fax: 202–395–6974, E-mail address:
OIRA_Submission@omb.eop.gov.
(SSA), Social Security Administration,
DCBFM, Attn: Director, Center for
Reports Clearance, 1333 Annex
Building, 6401 Security Blvd.,
Baltimore, MD 21235, Fax: 410–965–
0454, E-mail address:
OPLM.RCO@ssa.gov.
The information collection below is
pending at SSA. SSA will submit it to
OMB within 60 days from the date of
this notice. To be sure we consider your
comments, we must receive them no
later than October 19, 2009. Individuals
can obtain copies of the collection
instrument by calling the SSA Director
for Reports Clearance at 410–965–0454
or by writing to the email address we
list above.
1. State Supplementation Provisions:
Agreement; Payments—20 CFR
416.2095–416.2098, 416.2099—0960–
0240. Section 1618 of the Social
Security Act contains pass-along
provisions of the Social Security
amendments. These provisions require
states that supplement the Federal
Supplemental Security Income (SSI)
payments to pass along Federal cost-ofliving increases to individuals who are
eligible for State supplemental
payments. If a state fails to keep
payments at the required level, it
becomes ineligible for Medicaid
Number of
respondents
Frequency of response
reimbursement under Title XIX of the
Social Security Act. SSA uses the
information to determine a state’s
eligibility for Medicaid reimbursement.
Respondents are state agencies
administering supplemental programs.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 23.
Frequency of Response: 1.
Average Burden per Response: 60
minutes
Estimated Annual Burden: 23 hours.
2. Vocational Rehabilitation Provider
Claim—20 CFR 404.2108(b),
404.2117(c)(1)&(2), 404.2101(b)&(c),
404.2121(a), 416.2208(b),
416.2217(c)(1)&(2), 416.2201(b)&(c),
416.2221(a)—0960–0310. SSA refers
certain disability beneficiaries to state
Vocational Rehabilitation (VR) agencies.
The state VR agencies use the SSA–199
to make claims for reimbursement of the
costs they incur when providing VR
services for the beneficiaries. SSA uses
the information on the SSA–199 to
determine whether or not, and how
much, to pay the state VR agencies
under SSA’s VR program. Respondents
are state VR agencies who offer
vocational and employment services for
Social Security and SSI recipients.
Type of Request: Revision of an OMBapproved information collection.
Number of Respondents: 80.
Total
responses
Average
burden per
response
(minutes)
Estimated
annual
burden
hours
a. SSA–199 (404.2108 & 416.2208)
b. (404.2117 & 416.2217) .................
c. (404.2121 & 416.2221) .................
80
80
80
160 each/year ..................................
1 per year .........................................
2–3 per year .....................................
12,800
80
200
23
60
100
4,907
80
333
Total ...........................................
........................
...........................................................
13,080
........................
5,320
Estimated Annual Burden: 5,320
hours.
3. Uniform Administrative
Requirements for Grants and
Agreements with Institutions of Higher
Learning, Hospitals and Other NonProfit Organizations—20 CFR 435—
0960–0616. SSA’s regulations at 20 CFR
435 of the Code of Federal Regulations
Number of
respondents
jlentini on DSKJ8SOYB1PROD with NOTICES
Section No.
435.23
435.25
435.51
435.53
provide SSA’s standards for
administering grants and agreements it
awards to institutions of higher
learning, hospitals, and other non-profit
and/or commercial organizations. The
regulations discuss administrative
guidelines and reporting, recordkeeping,
and disclosure requirements for
recipients of grants and agreements.
SSA uses the information to monitor the
progress and successful completion of
funded projects. Respondents are
recipients of grants and agreements with
SSA.
Type of Request: Extension of an
OMB-approved information collection.
Number of Respondents: 127.
Average
burden per
response
(hours)
Frequency of response
Estimated
annual burden
(hours)
Rec-kp .................................................
Rpt ......................................................
Rpt ......................................................
Rec-kp .................................................
107
127
127
127
Monthly (12) ...................................................
Biannually (2) .................................................
Quarterly (4) ...................................................
Annually (1) ....................................................
1
4
12
8
1,284
1,016
6,096
1,016
Total .........................................................
........................
.........................................................................
........................
9,412
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Federal Register / Vol. 74, No. 159 / Wednesday, August 19, 2009 / Notices
4. Ticket to Work Program Evaluation
Survey (National Beneficiary Survey)—
0960–0666. The 1999 Ticket to Work
and Work (TTW) Incentives
Improvement Act, Public Law 106–170,
established the TTW program to create
additional access to services for SSA
beneficiaries through a new system of
public and private Employment
Network (EN) providers. The legislation
also mandated an evaluation of the
National Beneficiary Survey and two
associated experiments (all three
activities will use the same data). The
respondents are Social Security
beneficiaries and TTW enrollees. As
with the previous three phases of this
project, a contractor will conduct this
study for SSA.
Type of Collection: New information
collection (reinstatement with
revisions).
program. In February 2003, SSA began
a multi-phase evaluation of this
program. Although we originally
planned to complete the final data
collection wave by 2009, we decided to
postpone the final evaluation until 2010
because of significant changes in the
TTW program in 2008 (such as changes
to the way state VR agencies can
provide services). In this request, we are
seeking clearance for round four of the
Annual
number of
respondents
Instrument
Number of
responses per
respondent
Average
burden hours
per response
Estimated
annual burden
hours
National Beneficiary Sample ...........................................................................
Ticket Participant Sample ................................................................................
2,400
3,000
1
1
.750
.917
1,800
2,751
Grand Total—Burden for NBS
Grand Total for All ....................................................................................
5,400
1
........................
4,551
5. Special Benefits for Certain World
War II Veterans—20 CFR 408, Subparts
G, H, I, J & L—0960–0683. Title VIII of
the Social Security Act, Special Benefits
for Certain World War II Veterans (SVB),
allows, under certain circumstances, the
payment of SVB to qualified veterans
who reside outside the United States.
The accompanying regulations set out
the requirements an individual must
meet to establish continuing eligibility
to, and insure correct payment amount
of, SVB and/or state recognition
payments. Additionally, they provide
requirements that a state must meet to
elect, modify, or terminate a Federal
agreement. For those information
collection requests (ICR) cleared
through SSA forms, the public reporting
burden is accounted for in the ICRs for
the various forms. A 1-hour placeholder
* burden is assigned to those specific
reporting requirements contained in the
rule. The respondents are individuals
who receive Title VIII SVB, and/or
states that elect Federal administration
of their recognition payments.
Type of Request: Extension of an
OMB-approved information collection.
Frequency of
response
Number of
respondents
Section No.
Average
burden per
response
(minutes)
Estimated
annual burden
(hours)
1
5
5
5
1
1
2
2
2
2
1
........................
1
1
1
........................
........................
1
1
1
1
........................
........................
15
15
15
........................
........................
15
15
15
30
........................
*1
1
1
1
*1
*1
1
1
1
1
*1
Total ..........................................................................................................
jlentini on DSKJ8SOYB1PROD with NOTICES
§ 408.704–.714 ................................................................................................
§ 408.802(b) .....................................................................................................
§ 408.814 .........................................................................................................
§ 408.820(c) .....................................................................................................
§ 408.923(b) .....................................................................................................
§ 408.931(b) & § 408.932(d) ............................................................................
§ 408.932(c) .....................................................................................................
§ 408.932(e) .....................................................................................................
§ 408.941(b) & § 408.942 .................................................................................
§ 408.944(a) .....................................................................................................
§ 408.1000(a) ...................................................................................................
27
........................
........................
11
6. Certificate of Incapacity—5 CFR
890.302(d)—0960–0739. Rules
governing the Federal Employee Health
Benefits (FEHB) plan require that the
physician verify disability of Federal
employees’ children ages 22 and over to
retain health benefits under the
employees’ plans. The physician must
verify that the adult child has a
disability that meets the following
criteria: (1) Pre-dates the child’s 22nd
birthday; (2) is very serious; and (3) can
be expected to last at least one year.
Physicians use Form SSA–604, the
Certificate of Incapacity, to document
and certify the disability of children
ages 22 and over whose parents are SSA
VerDate Nov<24>2008
17:01 Aug 18, 2009
Jkt 217001
employees. SSA uses the information to
determine adult children’s (age 22 and
above) eligibility for coverage under a
parent’s FEHB plan. The respondents
are physicians of SSA employees’
children ages 22 or over who are seeking
to retain health benefits under their
parent’s FEHB coverage.
Type of Request: New information
collection.
Number of Respondents: 50.
Frequency of Response: 1.
Average Burden per Response: 45
minutes.
Estimated Annual Burden: 38 hours.
7. Representative Payment Policies
and Administrative Procedures for
PO 00000
Frm 00100
Fmt 4703
Sfmt 4703
Imposing Penalties for False or
Misleading Statements or Withholding
of Information—0960–0740. This
information collection request
comprises several regulation sections
that provide additional safeguards for
Social Security beneficiaries whose
representative payees receive their
payments. Representative payees are
required to notify SSA of any event or
change in circumstances that would
affect receipt of benefits or performance
of payee duties. SSA uses the
information to determine continued
eligibility for benefits, the amount of
benefits due and if the payee is suitable
to continue serving as payee. The
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Federal Register / Vol. 74, No. 159 / Wednesday, August 19, 2009 / Notices
respondents are representative payees
who receive and use benefits on behalf
of Social Security beneficiaries.
Type of Collection: Extension of an
OMB-approved information collection.
Number of
respondents
Regulation section
Completion time
(hours)
Burden
(hours)
404.2035(d) ................................................................................................................
404.2035(f) .................................................................................................................
416.635(d) ..................................................................................................................
416.635(f) ...................................................................................................................
550,000
5,500
300,000
3,000
.083
.083
.083
.083
45,650
457
24,900
249
Total ....................................................................................................................
858,500
..............................
71,256
II. SSA has submitted the information
collections we list below to OMB for
clearance. Your comments on the
information collections would be most
useful if OMB and SSA receive them
within 30 days from the date of this
publication. To be sure we consider
your comments, we must receive them
no later than September 18, 2009. You
can obtain a copy of the OMB clearance
packages by calling the SSA Director for
Reports Clearance at 410–965–0454 or
by writing to the above email address.
1. Medicare Part B Income-Related
Premium—Life-Changing Event Form
0960–0735. Per the Medicare
Modernization Act of 2003, selected
recipients of Medicare Part B insurance
pay an income-related monthly
adjustment amount (IRMAA). The
Internal Revenue Service uses income
tax return data to determine the amount
of the IRMAA. SSA uses Form SSA–44
to determine if a recipient qualifies for
a reduction in IRMMA. If affected
Medicare Part B recipients believe more
recent tax data should be used because
a life-changing event has occurred that
significantly reduces his/her income,
they can report these changes to SSA
Number of
respondents
Method of information collection
and ask for a new initial determination
of his/her IRMAA. The respondents are
Medicare Part B recipients who have a
modified adjusted gross income over a
high-income ‘‘threshold.’’
Note: This is a correction notice. SSA
published this information collection as an
extension on June 25, 2009, at 74 FR 30353.
Since we are revising the Privacy Act
Statement, this is now a revision of an OMBapproved information collection.
Type of Request: Revision of an OMBapproved information collection.
Average burden
per response
(minutes)
Frequency of
response
Estimated annual
burden
(hours)
Personal Interview ...................................................................
Form .........................................................................................
128,000
32,000
1
1
30
45
64,000
24,000
Totals ................................................................................
160,000
..............................
..............................
88,000
Dated: August 14, 2009.
Elizabeth A. Davidson,
Director, Center for Reports Clearance, Social
Security Administration.
[FR Doc. E9–19905 Filed 8–18–09; 8:45 am]
BILLING CODE 4191–02–P
SOCIAL SECURITY ADMINISTRATION
[Docket No. SSA–2009–0018]
Privacy Act of 1974, as Amended;
Computer Matching Program (Social
Security Administration/Department of
the Treasury, Internal Revenue Service
(SSA/IRS))—Match Number 1310
AGENCY:
Social Security Administration
jlentini on DSKJ8SOYB1PROD with NOTICES
(SSA).
ACTION: Notice of renewal of an existing
computer matching program scheduled
to expire on October 3, 2009.
In accordance with the
Privacy Act, as amended, this notice
announces renewal of an existing
computer matching program that we are
currently conducting with IRS.
SUMMARY:
VerDate Nov<24>2008
16:53 Aug 18, 2009
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DATES: We will file a report of the
subject matching program with the
Committee on Homeland Security and
Governmental Affairs of the Senate; the
Committee on Oversight and
Government Reform of the House of
Representatives, and the Office of
Information and Regulatory Affairs,
Office of Management and Budget
(OMB). Renewal of the matching
program will be effective as indicated
below.
Interested parties may
comment on this notice by either
telefaxing to (410) 965–0201 or writing
to the Deputy Commissioner for Budget,
Finance and Management, 800 Altmeyer
Building, 6401 Security Boulevard,
Baltimore, MD 21235–6401. All
comments received will be available for
public inspection at this address.
ADDRESSES:
FOR FURTHER INFORMATION CONTACT: The
Deputy Commissioner for Budget,
Finance and Management as shown
above.
SUPPLEMENTARY INFORMATION:
PO 00000
Frm 00101
Fmt 4703
Sfmt 4703
A. General
The Computer Matching and Privacy
Protection Act of 1988 (Pub. L. 100–
503), amended the Privacy Act (5 U.S.C.
552a) by describing the conditions
under which computer matching
involving federal agencies could be
performed and adding certain
protections for persons applying for,
and receiving, federal benefits. Section
7201 of the Omnibus Budget
Reconciliation Act of 1990 (Pub. L. 101–
508) further amended the Privacy Act
regarding protections for such persons.
The Privacy Act, as amended,
regulates the use of computer matching
by federal agencies when records in a
system of records are matched with
other federal, state, or local government
records. It requires federal agencies
involved in computer matching
programs to:
(1) Negotiate written agreements with
other agencies participating in the
matching programs;
(2) Obtain approval of the matching
agreement by the Data Integrity Boards
of the participating federal agencies;
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]]>Agencies
[Federal Register Volume 74, Number 159 (Wednesday, August 19, 2009)]
[Notices]
[Pages 41959-41961]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-19905]
[[Page 41959]]
=======================================================================
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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 requiring clearance by the Office of
Management and Budget (OMB) in compliance with Public Law (Pub. L.)
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995.
This notice includes revisions and extensions of OMB-approved
information collections and a new collection.
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. Mail, email, or
fax your comments and recommendations on the information collection(s)
to the OMB Desk Officer and the SSA Director for Reports Clearance to
the addresses or fax numbers shown 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: Director, Center
for Reports Clearance, 1333 Annex Building, 6401 Security Blvd.,
Baltimore, MD 21235, Fax: 410-965-0454, E-mail address:
OPLM.RCO@ssa.gov.
The information collection below is pending at SSA. SSA will submit
it to OMB within 60 days from the date of this notice. To be sure we
consider your comments, we must receive them no later than October 19,
2009. Individuals can obtain copies of the collection instrument by
calling the SSA Director for Reports Clearance at 410-965-0454 or by
writing to the email address we list above.
1. State Supplementation Provisions: Agreement; Payments--20 CFR
416.2095-416.2098, 416.2099--0960-0240. Section 1618 of the Social
Security Act contains pass-along provisions of the Social Security
amendments. These provisions require states that supplement the Federal
Supplemental Security Income (SSI) payments to pass along Federal cost-
of-living increases to individuals who are eligible for State
supplemental payments. If a state fails to keep payments at the
required level, it becomes ineligible for Medicaid reimbursement under
Title XIX of the Social Security Act. SSA uses the information to
determine a state's eligibility for Medicaid reimbursement. Respondents
are state agencies administering supplemental programs.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 23.
Frequency of Response: 1.
Average Burden per Response: 60 minutes
Estimated Annual Burden: 23 hours.
2. Vocational Rehabilitation Provider Claim--20 CFR 404.2108(b),
404.2117(c)(1)&(2), 404.2101(b)&(c), 404.2121(a), 416.2208(b),
416.2217(c)(1)&(2), 416.2201(b)&(c), 416.2221(a)--0960-0310. SSA refers
certain disability beneficiaries to state Vocational Rehabilitation
(VR) agencies. The state VR agencies use the SSA-199 to make claims for
reimbursement of the costs they incur when providing VR services for
the beneficiaries. SSA uses the information on the SSA-199 to determine
whether or not, and how much, to pay the state VR agencies under SSA's
VR program. Respondents are state VR agencies who offer vocational and
employment services for Social Security and SSI recipients.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 80.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Type of response (as explained Number of Frequency of Total per response annual burden
below) respondents response responses (minutes) hours
----------------------------------------------------------------------------------------------------------------
a. SSA-199 (404.2108 & 80 160 each/year... 12,800 23 4,907
416.2208).
b. (404.2117 & 416.2217)...... 80 1 per year...... 80 60 80
c. (404.2121 & 416.2221)...... 80 2-3 per year.... 200 100 333
---------------------------------------------------------------------------------
Total..................... .............. ................ 13,080 .............. 5,320
----------------------------------------------------------------------------------------------------------------
Estimated Annual Burden: 5,320 hours.
3. Uniform Administrative Requirements for Grants and Agreements
with Institutions of Higher Learning, Hospitals and Other Non-Profit
Organizations--20 CFR 435--0960-0616. SSA's regulations at 20 CFR 435
of the Code of Federal Regulations provide SSA's standards for
administering grants and agreements it awards to institutions of higher
learning, hospitals, and other non-profit and/or commercial
organizations. The regulations discuss administrative guidelines and
reporting, recordkeeping, and disclosure requirements for recipients of
grants and agreements. SSA uses the information to monitor the progress
and successful completion of funded projects. Respondents are
recipients of grants and agreements with SSA.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 127.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Section No. Number of Frequency of response per response annual burden
respondents (hours) (hours)
----------------------------------------------------------------------------------------------------------------
435.23 Rec-kp......................... 107 Monthly (12)............ 1 1,284
435.25 Rpt............................ 127 Biannually (2).......... 4 1,016
435.51 Rpt............................ 127 Quarterly (4)........... 12 6,096
435.53 Rec-kp......................... 127 Annually (1)............ 8 1,016
-------------------------------------------------------------------------
Total............................. .............. ........................ .............. 9,412
----------------------------------------------------------------------------------------------------------------
[[Page 41960]]
4. Ticket to Work Program Evaluation Survey (National Beneficiary
Survey)--0960-0666. The 1999 Ticket to Work and Work (TTW) Incentives
Improvement Act, Public Law 106-170, established the TTW program to
create additional access to services for SSA beneficiaries through a
new system of public and private Employment Network (EN) providers. The
legislation also mandated an evaluation of the program. In February
2003, SSA began a multi-phase evaluation of this program. Although we
originally planned to complete the final data collection wave by 2009,
we decided to postpone the final evaluation until 2010 because of
significant changes in the TTW program in 2008 (such as changes to the
way state VR agencies can provide services). In this request, we are
seeking clearance for round four of the National Beneficiary Survey and
two associated experiments (all three activities will use the same
data). The respondents are Social Security beneficiaries and TTW
enrollees. As with the previous three phases of this project, a
contractor will conduct this study for SSA.
Type of Collection: New information collection (reinstatement with
revisions).
----------------------------------------------------------------------------------------------------------------
Number of Average burden Estimated
Instrument Annual number responses per hours per annual burden
of respondents respondent response hours
----------------------------------------------------------------------------------------------------------------
National Beneficiary Sample..................... 2,400 1 .750 1,800
Ticket Participant Sample....................... 3,000 1 .917 2,751
---------------------------------------------------------------
Grand Total--Burden for NBS
Grand Total for All......................... 5,400 1 .............. 4,551
----------------------------------------------------------------------------------------------------------------
5. Special Benefits for Certain World War II Veterans--20 CFR 408,
Subparts G, H, I, J & L--0960-0683. Title VIII of the Social Security
Act, Special Benefits for Certain World War II Veterans (SVB), allows,
under certain circumstances, the payment of SVB to qualified veterans
who reside outside the United States. The accompanying regulations set
out the requirements an individual must meet to establish continuing
eligibility to, and insure correct payment amount of, SVB and/or state
recognition payments. Additionally, they provide requirements that a
state must meet to elect, modify, or terminate a Federal agreement. For
those information collection requests (ICR) cleared through SSA forms,
the public reporting burden is accounted for in the ICRs for the
various forms. A 1-hour placeholder * burden is assigned to those
specific reporting requirements contained in the rule. The respondents
are individuals who receive Title VIII SVB, and/or states that elect
Federal administration of their recognition payments.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Section No. Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Sec. 408.704-.714............................. 1 .............. .............. *1
Sec. 408.802(b)............................... 5 1 15 1
Sec. 408.814.................................. 5 1 15 1
Sec. 408.820(c)............................... 5 1 15 1
Sec. 408.923(b)............................... 1 .............. .............. *1
Sec. 408.931(b) & Sec. 408.932(d)........... 1 .............. .............. *1
Sec. 408.932(c)............................... 2 1 15 1
Sec. 408.932(e)............................... 2 1 15 1
Sec. 408.941(b) & Sec. 408.942.............. 2 1 15 1
Sec. 408.944(a)............................... 2 1 30 1
Sec. 408.1000(a).............................. 1 .............. .............. *1
---------------------------------------------------------------
Total....................................... 27 .............. .............. 11
----------------------------------------------------------------------------------------------------------------
6. Certificate of Incapacity--5 CFR 890.302(d)--0960-0739. Rules
governing the Federal Employee Health Benefits (FEHB) plan require that
the physician verify disability of Federal employees' children ages 22
and over to retain health benefits under the employees' plans. The
physician must verify that the adult child has a disability that meets
the following criteria: (1) Pre-dates the child's 22nd birthday; (2) is
very serious; and (3) can be expected to last at least one year.
Physicians use Form SSA-604, the Certificate of Incapacity, to document
and certify the disability of children ages 22 and over whose parents
are SSA employees. SSA uses the information to determine adult
children's (age 22 and above) eligibility for coverage under a parent's
FEHB plan. The respondents are physicians of SSA employees' children
ages 22 or over who are seeking to retain health benefits under their
parent's FEHB coverage.
Type of Request: New information collection.
Number of Respondents: 50.
Frequency of Response: 1.
Average Burden per Response: 45 minutes.
Estimated Annual Burden: 38 hours.
7. Representative Payment Policies and Administrative Procedures
for Imposing Penalties for False or Misleading Statements or
Withholding of Information--0960-0740. This information collection
request comprises several regulation sections that provide additional
safeguards for Social Security beneficiaries whose representative
payees receive their payments. Representative payees are required to
notify SSA of any event or change in circumstances that would affect
receipt of benefits or performance of payee duties. SSA uses the
information to determine continued eligibility for benefits, the amount
of benefits due and if the payee is suitable to continue serving as
payee. The
[[Page 41961]]
respondents are representative payees who receive and use benefits on
behalf of Social Security beneficiaries.
Type of Collection: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Number of Completion time
Regulation section respondents (hours) Burden (hours)
----------------------------------------------------------------------------------------------------------------
404.2035(d)............................................ 550,000 .083 45,650
404.2035(f)............................................ 5,500 .083 457
416.635(d)............................................. 300,000 .083 24,900
416.635(f)............................................. 3,000 .083 249
--------------------------------------------------------
Total.............................................. 858,500 ................. 71,256
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II. SSA has submitted the information collections we list below to
OMB for clearance. Your comments on the information collections would
be most useful if OMB and SSA receive them within 30 days from the date
of this publication. To be sure we consider your comments, we must
receive them no later than September 18, 2009. You can obtain a copy of
the OMB clearance packages by calling the SSA Director for Reports
Clearance at 410-965-0454 or by writing to the above email address.
1. Medicare Part B Income-Related Premium--Life-Changing Event Form
0960-0735. Per the Medicare Modernization Act of 2003, selected
recipients of Medicare Part B insurance pay an income-related monthly
adjustment amount (IRMAA). The Internal Revenue Service uses income tax
return data to determine the amount of the IRMAA. SSA uses Form SSA-44
to determine if a recipient qualifies for a reduction in IRMMA. If
affected Medicare Part B recipients believe more recent tax data should
be used because a life-changing event has occurred that significantly
reduces his/her income, they can report these changes to SSA and ask
for a new initial determination of his/her IRMAA. The respondents are
Medicare Part B recipients who have a modified adjusted gross income
over a high-income ``threshold.''
Note: This is a correction notice. SSA published this
information collection as an extension on June 25, 2009, at 74 FR
30353. Since we are revising the Privacy Act Statement, this is now
a revision of an OMB-approved information collection.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden
Method of information collection Number of Frequency of per response Estimated annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Personal Interview.................. 128,000 1 30 64,000
Form................................ 32,000 1 45 24,000
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Totals.......................... 160,000 ................. ................. 88,000
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Dated: August 14, 2009.
Elizabeth A. Davidson,
Director, Center for Reports Clearance, Social Security Administration.
[FR Doc. E9-19905 Filed 8-18-09; 8:45 am]
BILLING CODE 4191-02-P
