Privacy Act of 1974: Computer Matching Program, 68419-68420 [2020-23788]
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Federal Register / Vol. 85, No. 209 / Wednesday, October 28, 2020 / Notices
a. VA Form 10–10EZ, Application for
Health Benefits, is used to collect
Veteran information during the initial
application process for VA medical care,
nursing home, domiciliary, dental
benefits, etc.
b. VA Form 10–10EZR, Health
Benefits Update Form, is used to update
a Veteran’s personal information, such
as marital status, address, health
insurance and financial information, for
renewal of health benefits.
c. VA Form 10–10HS, Request for
Hardship Determination, is used to
collect information from Veterans who
are in a copay required status for
hospital care and medical services, but
due to a loss of income project their
income for the current year will be
substantially below the VA means test
limits.
These forms collect information to
enroll a Veteran for health benefits,
establish basic eligibility, identify 3rd
party health insurance coverage,
identify prescription copayment,
provide for income verification, and
serve as a mechanism to make changes
upon admission for benefits or yearly
financial updates.
VA Form 10–10EZ
Affected Public: Individuals and
households.
Estimated Annual Burden: 270,000
hours.
Estimated Average Burden per
Respondent: 30 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents:
540,000.
VA Form 10–10EZR
Affected Public: Individuals and
households.
Estimated Annual Burden: 343,600
hours.
Estimated Average Burden per
Respondent: 24 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents:
859,000.
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VA Form 10–10HS
Affected Public: Individuals and
households.
Estimated Annual Burden: 1,750
hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: Annually.
Estimated Number of Respondents:
7,000.
VerDate Sep<11>2014
18:29 Oct 27, 2020
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By direction of the Secretary.
Danny S. Green,
Interim VA Clearance Officer, Office of
Quality, Performance and Risk (OQPR),
Department of Veterans Affairs.
[FR Doc. 2020–23808 Filed 10–27–20; 8:45 am]
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DEPARTMENT OF VETERANS
AFFAIRS
Privacy Act of 1974: Computer
Matching Program
AGENCY:
Department of Veterans Affairs
(VA).
Notice of new computer
matching program.
ACTION:
Pursuant to the Privacy Act of
1974, as amended, and the Office of
Management and Budget (OMB)
Guidelines on the Conduct of Matching
Programs, notice is hereby given that the
Department of Veterans Affairs (VA)
intends to conduct a computer matching
program with the Social Security
Administration (SSA). Data from the
proposed match will be used to verify
the net earnings from self-employment
and wages of nonservice-connected
veterans, and those veterans who are
zero percent service-connected
(noncompensable), whose eligibility for
VA medical care is based on their
inability to defray the cost of medical
care. These veterans supply household
income information that includes their
spouses and dependents at the time of
application for VA health care benefits.
DATES: Comments on this matching
program must be received no later than
30 days after publication of this Notice.
If no public comment is received during
the period allowed for comment or
unless otherwise published in the
Federal Register by VA, the new system
will become effective November 28,
2020 and expires 18 months after its
effective date. This match will not
continue past the legislative authorized
date to obtain this information.
ADDRESSES: Written comments may be
submitted through
www.Regulations.gov; by mail or handdelivery to the Director, Regulations
Management (00REG), Department of
Veterans Affairs, 810 Vermont Ave. NW,
Room 1068, Washington, DC 20420; or
by fax to (202) 273–9026 (not a toll-free
number). Comments should indicate
that they are submitted in response to
Matching Program SSA/VA. Copies of
comments received will be available for
public inspection in the Office of
Regulation Policy and Management,
Room 1063B, between the hours of 8:00
a.m. and 4:30 p.m. Monday through
SUMMARY:
PO 00000
Frm 00135
Fmt 4703
Sfmt 4703
68419
Friday (except holidays). Please call
(202) 461–4902 for an appointment.
(This is not a toll-free number.) In
addition, during the comment period,
comments may be viewed online
through the Federal Docket Management
System (FDMS) at www.Regulations.gov.
FOR FURTHER INFORMATION CONTACT:
Dionne Dent-Lockett, Director, Health
Eligibility Center, VHA Member
Services (404) 828–5302 (this is not a
toll-free number).
SUPPLEMENTARY INFORMATION: The
Department of Veterans Affairs has
statutory authorization under 38 U.S.C.
5317, 38 U.S.C. 5106, 26 U.S.C.
6103(l)(7)(D)(viii) and 5 U.S.C. 552a to
establish matching agreements and
request and use income information
from other agencies for purposes of
verification of income for determining
eligibility for benefits. 38 U.S.C.
1710(a)(2)(G), 1710(a)(3), and 1710(b)
identify those veterans whose basic
eligibility for medical care benefits is
dependent upon their financial status.
Eligibility for nonservice-connected and
zero percent noncompensable serviceconnected veterans is determined based
on the veteran’s inability to defray the
expenses for necessary care as defined
in 38 U.S.C. 1722. This determination
can affect their responsibility to
participate in the cost of their care
through copayments and their
assignment to an enrollment priority
group. The goal of this match is to
obtain SSA earned income information
data needed for the income verification
process. The VA records involved in the
match are ‘‘Income Verification
Records—VA’’ (89VA10NB). The SSA
records are from the Master Files of
Social Security Number (SSN) Holders
and SSN Applications (Enumeration
System). A copy of this notice has been
sent to both Houses of Congress and
OMB.
Participating Agencies: Department of
Veterans Affairs/Veteran Health
Administration and Social Security
Administration.
Authority for Conducting The
Matching Program: This agreement is
executed under the Privacy Act of 1974,
5 United States Code (U.S.C.) § 552a, as
amended by the Computer Matching
and Privacy Protection Act of 1988, and
the regulations and guidance
promulgated thereunder.
Legal authority for the disclosures
under this agreement is 38 U.S.C. 5106
and 5317, and 26 U.S.C.
6103(l)(7)(D)(viii). Under 38 U.S.C.
1710, VA/VHA has a statutory
obligation to collect income information
from certain applicants for medical care
and to use that income data to
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28OCN1
68420
Federal Register / Vol. 85, No. 209 / Wednesday, October 28, 2020 / Notices
jbell on DSKJLSW7X2PROD with NOTICES
determine the appropriate eligibility
category for the applicant’s medical
care. 26 U.S.C. 6103(l)(7) authorizes the
disclosure of tax return information
with respect to net earnings from selfemployment and wages, as defined by
relevant sections of the Internal
Revenue Code (IRC), to Federal, state,
and local agencies administering certain
benefit programs under Title 38 of the
U.S.C.
Purpose(s): To identify and verify
those veterans whose basic eligibility for
medical care benefits is dependent upon
their financial status and ensure they
are in the correct Priority Group and
copayment status.
Categories of Individuals: Nonserviceconnected and zero percent
noncompensable service-connected
veterans who are in Priority Group 5
based on their inability to defray the
expenses for necessary care as defined
in 38 U.S.C. 1722.
Categories of Records: The VA records
involved in the match are ‘‘Income
Verification Records—VA’’
(89VA10NB). The SSA records are from
VerDate Sep<11>2014
18:29 Oct 27, 2020
Jkt 253001
the Master Files of Social Security
Number (SSN) Holders and SSN
Applications (Enumeration System).
The SSA will provide return
information with respect to earned
income from the Earnings Recording
and Self-Employment Income System
(commonly referred to as the MEF). SSA
will provide VA/VHA with the
following tax return information from
the MEF for each individual with a
verified SSN for whom VA/VHA
requests information: Employer
identification numbers (EIN), earnings
report type, employer name and
address, year of earnings, wage amounts
from Form W–2, and earnings amounts
from self-employment.
System(s) of Records: VHA’s System
of Records entitled ‘‘Income Verification
Records—VA’’ (89VA10NB) (Routine
use nineteen (19)), as published at 73 FR
26192 (May 8, 2008), and updated at 78
FR 76897 (December 19, 2013)). SSA
will extract and disclose the necessary
tax return information from the Earnings
Recording and Self-Employment Income
System, (commonly referred to as the
PO 00000
Frm 00136
Fmt 4703
Sfmt 9990
MEF), 60–0059, last fully published at
71 FR 1819 (January 11, 2006) and
updated on July 5, 2013 (78 Fed. Reg.
40542), and November 1, 2018 (83 FR
54969).
Signing Authority
The Senior Agency Official for
Privacy, or designee, approved this
document and authorized the
undersigned to sign and submit the
document to the Office of the Federal
Register for publication electronically as
an official document of the Department
of Veterans Affairs. Joseph S. Stenaka,
Executive Director for Information
Security Operations and Chief Privacy
Officer, approved this document on
October 13, 2020 for publication.
Dated: October 22, 2020.
Amy L. Rose,
Program Analyst, VA Privacy Service, Office
of Information Security, Office of Information
and Technology, Department of Veterans
Affairs.
[FR Doc. 2020–23788 Filed 10–27–20; 8:45 am]
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Agencies
[Federal Register Volume 85, Number 209 (Wednesday, October 28, 2020)]
[Notices]
[Pages 68419-68420]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-23788]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
Privacy Act of 1974: Computer Matching Program
AGENCY: Department of Veterans Affairs (VA).
ACTION: Notice of new computer matching program.
-----------------------------------------------------------------------
SUMMARY: Pursuant to the Privacy Act of 1974, as amended, and the
Office of Management and Budget (OMB) Guidelines on the Conduct of
Matching Programs, notice is hereby given that the Department of
Veterans Affairs (VA) intends to conduct a computer matching program
with the Social Security Administration (SSA). Data from the proposed
match will be used to verify the net earnings from self-employment and
wages of nonservice-connected veterans, and those veterans who are zero
percent service-connected (noncompensable), whose eligibility for VA
medical care is based on their inability to defray the cost of medical
care. These veterans supply household income information that includes
their spouses and dependents at the time of application for VA health
care benefits.
DATES: Comments on this matching program must be received no later than
30 days after publication of this Notice. If no public comment is
received during the period allowed for comment or unless otherwise
published in the Federal Register by VA, the new system will become
effective November 28, 2020 and expires 18 months after its effective
date. This match will not continue past the legislative authorized date
to obtain this information.
ADDRESSES: Written comments may be submitted through
www.Regulations.gov; by mail or hand-delivery to the Director,
Regulations Management (00REG), Department of Veterans Affairs, 810
Vermont Ave. NW, Room 1068, Washington, DC 20420; or by fax to (202)
273-9026 (not a toll-free number). Comments should indicate that they
are submitted in response to Matching Program SSA/VA. Copies of
comments received will be available for public inspection in the Office
of Regulation Policy and Management, Room 1063B, between the hours of
8:00 a.m. and 4:30 p.m. Monday through Friday (except holidays). Please
call (202) 461-4902 for an appointment. (This is not a toll-free
number.) In addition, during the comment period, comments may be viewed
online through the Federal Docket Management System (FDMS) at
www.Regulations.gov.
FOR FURTHER INFORMATION CONTACT: Dionne Dent-Lockett, Director, Health
Eligibility Center, VHA Member Services (404) 828-5302 (this is not a
toll-free number).
SUPPLEMENTARY INFORMATION: The Department of Veterans Affairs has
statutory authorization under 38 U.S.C. 5317, 38 U.S.C. 5106, 26 U.S.C.
6103(l)(7)(D)(viii) and 5 U.S.C. 552a to establish matching agreements
and request and use income information from other agencies for purposes
of verification of income for determining eligibility for benefits. 38
U.S.C. 1710(a)(2)(G), 1710(a)(3), and 1710(b) identify those veterans
whose basic eligibility for medical care benefits is dependent upon
their financial status. Eligibility for nonservice-connected and zero
percent noncompensable service-connected veterans is determined based
on the veteran's inability to defray the expenses for necessary care as
defined in 38 U.S.C. 1722. This determination can affect their
responsibility to participate in the cost of their care through
copayments and their assignment to an enrollment priority group. The
goal of this match is to obtain SSA earned income information data
needed for the income verification process. The VA records involved in
the match are ``Income Verification Records--VA'' (89VA10NB). The SSA
records are from the Master Files of Social Security Number (SSN)
Holders and SSN Applications (Enumeration System). A copy of this
notice has been sent to both Houses of Congress and OMB.
Participating Agencies: Department of Veterans Affairs/Veteran
Health Administration and Social Security Administration.
Authority for Conducting The Matching Program: This agreement is
executed under the Privacy Act of 1974, 5 United States Code (U.S.C.)
Sec. 552a, as amended by the Computer Matching and Privacy Protection
Act of 1988, and the regulations and guidance promulgated thereunder.
Legal authority for the disclosures under this agreement is 38
U.S.C. 5106 and 5317, and 26 U.S.C. 6103(l)(7)(D)(viii). Under 38
U.S.C. 1710, VA/VHA has a statutory obligation to collect income
information from certain applicants for medical care and to use that
income data to
[[Page 68420]]
determine the appropriate eligibility category for the applicant's
medical care. 26 U.S.C. 6103(l)(7) authorizes the disclosure of tax
return information with respect to net earnings from self-employment
and wages, as defined by relevant sections of the Internal Revenue Code
(IRC), to Federal, state, and local agencies administering certain
benefit programs under Title 38 of the U.S.C.
Purpose(s): To identify and verify those veterans whose basic
eligibility for medical care benefits is dependent upon their financial
status and ensure they are in the correct Priority Group and copayment
status.
Categories of Individuals: Nonservice-connected and zero percent
noncompensable service-connected veterans who are in Priority Group 5
based on their inability to defray the expenses for necessary care as
defined in 38 U.S.C. 1722.
Categories of Records: The VA records involved in the match are
``Income Verification Records--VA'' (89VA10NB). The SSA records are
from the Master Files of Social Security Number (SSN) Holders and SSN
Applications (Enumeration System). The SSA will provide return
information with respect to earned income from the Earnings Recording
and Self-Employment Income System (commonly referred to as the MEF).
SSA will provide VA/VHA with the following tax return information from
the MEF for each individual with a verified SSN for whom VA/VHA
requests information: Employer identification numbers (EIN), earnings
report type, employer name and address, year of earnings, wage amounts
from Form W-2, and earnings amounts from self-employment.
System(s) of Records: VHA's System of Records entitled ``Income
Verification Records--VA'' (89VA10NB) (Routine use nineteen (19)), as
published at 73 FR 26192 (May 8, 2008), and updated at 78 FR 76897
(December 19, 2013)). SSA will extract and disclose the necessary tax
return information from the Earnings Recording and Self-Employment
Income System, (commonly referred to as the MEF), 60-0059, last fully
published at 71 FR 1819 (January 11, 2006) and updated on July 5, 2013
(78 Fed. Reg. 40542), and November 1, 2018 (83 FR 54969).
Signing Authority
The Senior Agency Official for Privacy, or designee, approved this
document and authorized the undersigned to sign and submit the document
to the Office of the Federal Register for publication electronically as
an official document of the Department of Veterans Affairs. Joseph S.
Stenaka, Executive Director for Information Security Operations and
Chief Privacy Officer, approved this document on October 13, 2020 for
publication.
Dated: October 22, 2020.
Amy L. Rose,
Program Analyst, VA Privacy Service, Office of Information Security,
Office of Information and Technology, Department of Veterans Affairs.
[FR Doc. 2020-23788 Filed 10-27-20; 8:45 am]
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