Federal Register: December 30, 2005 (Volume 70, Number 250)
DOCID: FR Doc E5-8094
SOCIAL SECURITY ADMINISTRATION
Social Security Administration
NOTICE: NOTICES
SUBJECT CATEGORY:
Agency Information Collection Activities: Proposed Request
DOCUMENT SUMMARY:
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 10413, the Paperwork Reduction Act of 1995, effective October 1, 1995. The information collection packages that may be included in this notice are for new information collections.
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 SSA Reports Clearance Officer. The information can be
mailed and/or faxed to the individuals at the addresses and fax number listed below:
(SSA), Social Security Administration, DCFAM, Attn: Reports
Clearance Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore,
MD 21235. Fax: 4109656400. Email: OPLM.RCO@ssa.gov.
The information collection listed below is pending at SSA and will be submitted to OMB within 60 days from the date of this notice. Therefore, your comments should be submitted to SSA within 60 days from the date of this publication. You can obtain copies of the collection instruments by calling the SSA Reports Clearance Officer at 410965 0454 or by writing to the address listed above.
Redetermination of Eligibility for Help with Medicare Prescription Drug Plan Costs0960NEW. Under the aegis of the Medicare
Modernization Act of 2003 (Pub. L. 108173), SSA will conduct low
income subsidy eligibility redeterminations for Medicare beneficiaries
who filed for the subsidy and were determined by SSA to be eligible.
Subsidy eligibility redeterminations will be conducted when: (1)
Medicare Part D subsidy beneficiaries use form SSA1026RET to report a
change in income, resources, or household information in response to
SSA's inquiry via form SSAL1026; (2) Medicare Part D subsidy
beneficiaries report a change in income, resources, or household
information on their own using form SSA1026RET; (3) Medicare Part D
subsidy beneficiaries use form SSA1026SCE to report a subsidy
changing event which could potentially impact the amount of their
subsidy, including marriage, separation, divorce/annulment, or spousal
death. The respondents are current recipients of the Medicare Part D
lowincome subsidy who will undergo an eligibility redetermination for
one of the reasons mentioned above. Following is a description of the
forms in this collection, the number of respondents who will complete them, and their burden data.
Average
Frequency burden per Estimated
Form Explanation Number of of response response annual
respondents (per year) (in burden (in
minutes) hours)
SSAL1026................... Passive redetermination letter 1,500,000 1 5 125,000 informing Medicare Part D
subsidy recipients what
income, resource, and
household information SSA has
on file for them, and asking if this information has
changed.
SSA1026RET................ Redetermination form completed 300,000 1 20 100,000 by Medicare Part D subsidy
recipients who said their
income, resource, or
household information had
changed in their response to form SSAL1026. Beginning in
2007, this form will also be used as a cyclical
redetermination form to be
completed by Medicare Part D subsidy recipients who are
automatically sent the form
based on certain profile/
selection criteria.
SSA1026SCE................ Redetermination form completed 76,000 1 20 25,333 by Medicare Part D subsidy
recipients who called SSA to
inform them of an event which is potentially subsidy
changing (marriage, divorce,
annulment, legal separation, spousal death). This form,
which is identical to form
SSA1026RET but has a
different cover sheet, will
replace form OMB No. 0960
0703 (SSA1020SC).
Total................... .............................. 1,876,000 250,333 [[Page 77439]]
Dated: December 23, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E58094 Filed 122905; 8:45 am]
BILLING CODE 419102P
SUMMARY:
Agency information collection activities; proposals, submissions, and approvals,
DOCUMENT BODY 2:
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 10413, the Paperwork Reduction Act of 1995, effective October 1, 1995. The information collection packages that may be included in this notice are for new information collections.
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 SSA Reports Clearance Officer. The information can be
mailed and/or faxed to the individuals at the addresses and fax number listed below:
(SSA), Social Security Administration, DCFAM, Attn: Reports
Clearance Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore,
MD 21235. Fax: 4109656400. Email: OPLM.RCO@ssa.gov.
The information collection listed below is pending at SSA and will be submitted to OMB within 60 days from the date of this notice. Therefore, your comments should be submitted to SSA within 60 days from the date of this publication. You can obtain copies of the collection instruments by calling the SSA Reports Clearance Officer at 410965 0454 or by writing to the address listed above.
Redetermination of Eligibility for Help with Medicare Prescription Drug Plan Costs0960NEW. Under the aegis of the Medicare
Modernization Act of 2003 (Pub. L. 108173), SSA will conduct low
income subsidy eligibility redeterminations for Medicare beneficiaries
who filed for the subsidy and were determined by SSA to be eligible.
Subsidy eligibility redeterminations will be conducted when: (1)
Medicare Part D subsidy beneficiaries use form SSA1026RET to report a
change in income, resources, or household information in response to
SSA's inquiry via form SSAL1026; (2) Medicare Part D subsidy
beneficiaries report a change in income, resources, or household
information on their own using form SSA1026RET; (3) Medicare Part D
subsidy beneficiaries use form SSA1026SCE to report a subsidy
changing event which could potentially impact the amount of their
subsidy, including marriage, separation, divorce/annulment, or spousal
death. The respondents are current recipients of the Medicare Part D
lowincome subsidy who will undergo an eligibility redetermination for
one of the reasons mentioned above. Following is a description of the
forms in this collection, the number of respondents who will complete them, and their burden data.
Average
Frequency burden per Estimated
Form Explanation Number of of response response annual
respondents (per year) (in burden (in
minutes) hours)
SSAL1026................... Passive redetermination letter 1,500,000 1 5 125,000 informing Medicare Part D
subsidy recipients what
income, resource, and
household information SSA has
on file for them, and asking if this information has
changed.
SSA1026RET................ Redetermination form completed 300,000 1 20 100,000 by Medicare Part D subsidy
recipients who said their
income, resource, or
household information had
changed in their response to form SSAL1026. Beginning in
2007, this form will also be used as a cyclical
redetermination form to be
completed by Medicare Part D subsidy recipients who are
automatically sent the form
based on certain profile/
selection criteria.
SSA1026SCE................ Redetermination form completed 76,000 1 20 25,333 by Medicare Part D subsidy
recipients who called SSA to
inform them of an event which is potentially subsidy
changing (marriage, divorce,
annulment, legal separation, spousal death). This form,
which is identical to form
SSA1026RET but has a
different cover sheet, will
replace form OMB No. 0960
0703 (SSA1020SC).
Total................... .............................. 1,876,000 250,333 [[Page 77439]]
Dated: December 23, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E58094 Filed 122905; 8:45 am]
BILLING CODE 419102P