Agency Information Collection Activities: Emergency Clearance Request, 70341-70342 [2010-28992]
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70341
Federal Register / Vol. 75, No. 221 / Wednesday, November 17, 2010 / Notices
Number of
respondents
Requirement
Frequency of
response
Average
burden per
response
(minutes)
Number of
responses
Estimated
annual burden
(hours)
Using the system to upload request file, check status, and
download results file .........................................................
Storing Consent Forms ........................................................
Activities related to compliance review ................................
115
115
115
251
251
251
28,865
28,865
28,865
5
60
60
2,405
28,865
28,865
Total ..............................................................................
........................
........................
115,470
........................
89,020
* One-time registration; approximately 10 new participating companies per year.
* * Please note: There are 251 Federal business days per year on which a requesting party could submit a file.
People whose SSNs SSA Will Verify:
Number of respondents
Requirement
Frequency of
response
Average burden per response (minutes)
Number of responses
Estimated annual burden
(hours)
Reading and signing authorization for SSA to release SSN
verification ........................................................................
Responding to CPA re-contact ............................................
986,585
5,750
1
1
986,585
5,750
3
5
49,329
479
Total ..............................................................................
992,335
........................
........................
........................
49,808
CPAs (conducting compliance
reviews and preparing written report of
findings):
Number of Respondents: 115.
Frequency of Response: 1.
Average Burden Per Response: 4,800.
Estimated Annual Burden: 9,200
hours.
Total Collective Burden: 148,028.
Estimated Per Company Cost to Store
Consent Forms—$300.
Estimated Per Company Cost To
Contract with CPA for Audit—$8,000.
recommendations on the information
collection to the OMB Desk Officer and
SSA Reports Clearance Officer to the
following addresses or fax numbers.
Dated: November 10, 2010.
Liz Davidson,
Center Director, Social Security
Administration.
Cost Burden
BILLING CODE 4191–02–P
(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.
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The public burden cost is dependent
upon the number of companies and
transactions. SSA based the cost
estimates below upon 115 participating
companies submitting 986,585
transactions. The total cost for
developing the system was $5.6 million.
SSA has already expended $3.0 million
we will recoup over the depreciable life
of the system based on the fee pertransaction model.
One-Time Per Company Registration
Fee—$5,000.
Estimated Per SSN Transaction Fee—
$5.00.i
Estimated Per Company Cost to Build
Optional Web Service—$200,000.ii
i The annual costs associated with the transaction
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, its total transaction cost for the
year would be $5 × 1,000,000 or $5,000,000.
Periodically, SSA will calculate its costs to provide
CBSV services and adjust the fee charged as needed.
SSA will notify companies in writing of any change
and companies will have the opportunity to cancel
the agreement or continue service using the new
transaction fee.
ii 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
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17:30 Nov 16, 2010
Jkt 223001
[FR Doc. 2010–28926 Filed 11–16–10; 8:45 am]
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection
Activities: Emergency Clearance
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 a revision to an existing OMBapproved 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 burden on respondents,
including the use of automated
collection techniques or other forms of
information technology. Mail, e-mail, or
fax your comments and
burden cost with either of these methods using the
CBSV system. Companies are not required to
purchase SSA’s Web design service. To date, no
participating companies have opted for this service.
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Frm 00143
Fmt 4703
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SSA submitted the information
collection below to OMB for Emergency
Clearance. SSA is requesting Emergency
Clearance from OMB no later than
November 22, 2010. Individuals can
obtain copies of the collection
instrument by calling the SSA Reports
Clearance Officer at 410–965–8783 or by
writing to the above e-mail address.
Medicare Income-Related Monthly
Adjustment Amount—Life-Changing
Event Form—0960–NEW. Per the
Medicare Modernization Act of 2003,
selected Medicare insurance recipients
pay an income-related monthly
adjustment amount (IRMAA). The
Internal Revenue Service (IRS) transmits
income tax return data to SSA for SSA
to determine the IRMAA. SSA will use
the new Form SSA–44 to determine if
a recipient qualifies for a reduction in
IRMAA. If affected Medicare recipients
believe SSA should use more recent tax
data because a life-changing event
occurred that significantly reduces their
income, they can report these changes to
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70342
Federal Register / Vol. 75, No. 221 / Wednesday, November 17, 2010 / Notices
SSA and ask for a new initial
determination of their IRMAA.
We are seeking OMB clearance for a
new SSA–44 to fulfill the provisions of
the Patient Protection and Affordable
Care Act (Pub. L. 111–148), which
mandates reductions in the Federal
Medicare Part D prescription drug
coverage subsidies, resulting in higher
premiums for those with income above
a specific threshold who have this
coverage. Since the provisions of the
law become effective January 1, 2011,
we are seeking emergency clearance for
this form. The respondents are Medicare
Part B and prescription drug coverage
Number of
respondents
Method of information collection
recipients and enrollees with modified
adjusted gross income over a highincome threshold who experience one
of the eight significant life-changing
events.
Type of Request: Request for a new
information collection.
Average
burden per
response
(minutes)
Frequency of
response
Estimated
annual
burden (hours)
Personal Interview (SSA field office) ...............................................................
Paper Form (mailed) ........................................................................................
147,000
39,000
1
1
30
45
73,500
29,250
Totals ........................................................................................................
186,000
........................
........................
102,750
Liz Davidson,
Center Director, Center for Reports Clearance,
Social Security Administration.
[FR Doc. 2010–28992 Filed 11–16–10; 8:45 am]
BILLING CODE 4191–02–P
Dated: October 20, 2010.
Steven J. Rodriguez,
Deputy Assistant Secretary of Operations,
Bureau of Administration, U.S. Department
of State.
DEPARTMENT OF STATE
[Public Notice 7228]
Privacy Act; System of Records: Equal
Employment Opportunity Records
Notice is hereby given that
the Department of State proposes to
amend an existing system of records,
Equal Employment Opportunity
Records, State–09, pursuant to the
provisions of the Privacy Act of 1974, as
amended (5 U.S.C. 552a) 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 October 20,
2010.
It is proposed that the current system
will retain the name ‘‘Equal
Employment Opportunity Records.’’ It is
also proposed that the amended system
description will include revisions/
additions to the following sections:
Categories of records, Purpose, Routine
uses, Storage, as well as other
administrative updates. The following
section has been added to the system of
records, Equal Employment
Opportunity Records, State–09, to
ensure Privacy Act of 1974 compliance:
Purpose. Any persons interested in
commenting on the amended system of
records may do so by submitting
comments in writing to Director, Office
of Information Programs and Services,
A/GIS/IPS, Department of State, SA–2,
515 22nd Street, Washington, DC
20522–8001. This system of records will
be effective 40 days from the date of
publication, unless we receive
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SUMMARY:
VerDate Mar<15>2010
16:21 Nov 16, 2010
comments that will result in a contrary
determination.
The amended system description,
‘‘Equal Employment Opportunity
Records, State–09,’’ will read as set forth
below.
Jkt 223001
State–09
SYSTEM NAME:
Equal Employment Opportunity
Records.
SECURITY CLASSIFICATION:
Unclassified.
SYSTEM LOCATION:
Department of State, 2201 C Street,
NW., Washington, DC 20520.
CATEGORIES OF INDIVIDUALS COVERED BY THE
SYSTEM:
Employees and applicants for
employment who have filed formal or
informal complaints which allege
discrimination.
CATEGORIES OF RECORDS IN THE SYSTEM:
Investigative reports; employment
applications; biographic information to
include race, color, national origin, sex,
sexual orientation, religion, age,
disability, genetic information; and
employment histories.
addressing Equal Employment
Opportunity (EEO) complaints.
ROUTINE USES OF RECORDS MAINTAINED IN THE
SYSTEM, INCLUDING CATEGORIES OF USERS AND
PURPOSES OF SUCH USES:
Records from this system will be
disclosed to other federal agencies for
purposes of investigating, processing,
adjudicating, resolving and litigating
EEO complaints involving more than
one agency, or in situations where the
Department of State has requested that
another federal agency provide
investigative support for an EEO
complaint.
The Department of State periodically
publishes in the Federal Register its
standard routine uses that apply to all
of its Privacy Act systems of records.
These notices appear in the form of a
Prefatory Statement. These standard
routine uses apply to the Equal
Employment Opportunity Records,
State–09.
DISCLOSURE TO CONSUMER REPORTING
AGENCIES:
None.
POLICIES AND PRACTICES FOR STORING,
RETRIEVING, ACCESSING, RETAINING, AND
DISPOSING OF RECORDS IN THE SYSTEM:
STORAGE:
Hard copy and electronic.
RETRIEVABILITY:
By individual name.
AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
SAFEGUARDS:
42 U.S.C. 2000e; Executive Order
11478, as amended.
All users are given cyber security
awareness training which covers the
procedures for handling Sensitive but
Unclassified information, including
personally identifiable information.
Annual refresher training is mandatory.
Before being granted access to Equal
Employment Opportunity Records, a
user must first be granted access to the
Department of State computer system.
PURPOSE(S):
For the investigation, processing and
resolution of formal and informal
complaints of discrimination filed
against the Department of State in
accordance with 29 CFR 1614 and the
Department’s internal procedures for
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]]>Agencies
[Federal Register Volume 75, Number 221 (Wednesday, November 17, 2010)]
[Notices]
[Pages 70341-70342]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-28992]
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Emergency Clearance
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 a revision to an existing OMB-approved 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 burden
on respondents, including the use of automated collection techniques or
other forms of information technology. Mail, e-mail, or fax your
comments and recommendations on the information collection to the OMB
Desk Officer and SSA Reports Clearance Officer to the following
addresses or fax numbers.
(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.
SSA submitted the information collection below to OMB for Emergency
Clearance. SSA is requesting Emergency Clearance from OMB no later than
November 22, 2010. Individuals can obtain copies of the collection
instrument by calling the SSA Reports Clearance Officer at 410-965-8783
or by writing to the above e-mail address.
Medicare Income-Related Monthly Adjustment Amount--Life-Changing
Event Form--0960-NEW. Per the Medicare Modernization Act of 2003,
selected Medicare insurance recipients pay an income-related monthly
adjustment amount (IRMAA). The Internal Revenue Service (IRS) transmits
income tax return data to SSA for SSA to determine the IRMAA. SSA will
use the new Form SSA-44 to determine if a recipient qualifies for a
reduction in IRMAA. If affected Medicare recipients believe SSA should
use more recent tax data because a life-changing event occurred that
significantly reduces their income, they can report these changes to
[[Page 70342]]
SSA and ask for a new initial determination of their IRMAA.
We are seeking OMB clearance for a new SSA-44 to fulfill the
provisions of the Patient Protection and Affordable Care Act (Pub. L.
111-148), which mandates reductions in the Federal Medicare Part D
prescription drug coverage subsidies, resulting in higher premiums for
those with income above a specific threshold who have this coverage.
Since the provisions of the law become effective January 1, 2011, we
are seeking emergency clearance for this form. The respondents are
Medicare Part B and prescription drug coverage recipients and enrollees
with modified adjusted gross income over a high-income threshold who
experience one of the eight significant life-changing events.
Type of Request: Request for a new information collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Method of information collection respondents response response annual burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Personal Interview (SSA field office)........... 147,000 1 30 73,500
Paper Form (mailed)............................. 39,000 1 45 29,250
---------------------------------------------------------------
Totals...................................... 186,000 .............. .............. 102,750
----------------------------------------------------------------------------------------------------------------
Liz Davidson,
Center Director, Center for Reports Clearance, Social Security
Administration.
[FR Doc. 2010-28992 Filed 11-16-10; 8:45 am]
BILLING CODE 4191-02-P
