Federal Register: December 29, 2008 (Volume 73, Number 249)
DOCID: fr29de08-109 FR Doc E8-30801
SOCIAL SECURITY ADMINISTRATION
Social Security Administration
NOTICE: NOTICES
DOCID: fr29de08-109
SUBJECT CATEGORY:
Agency Information Collection Activities: Comment Request
DOCUMENT SUMMARY:
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.) 10413, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions to existing OMBapproved 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 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 Reports Clearance Officer to the addresses or fax numbers listed below.
(OMB), Office of Management and Budget, Attn: Desk Officer for SSA,
Fax: 2023956974, Email address: OIRA_Submission@omb.eop.gov.
(SSA), Social Security Administration, DCBFM, Attn: Reports
Clearance Officer, 1332 Annex Building, 6401 Security Blvd., Baltimore,
MD 21235, Fax: 4109656400, Email address: OPLM.RCO@ssa.gov.
The information collections below are pending at SSA. SSA will submit them to OMB within 60 days from the date of this notice. Therefore, your comments would be most helpful if you submit them to SSA within 60 days from the date of this publication. Individuals can obtain copies of these collection instruments by calling the SSA Reports Clearance Officer at 4109650454 or by writing to the email address listed above.
1. Application for EXTRA Help with Medicare Prescription Drug Plan Costs20 CFR 418.310109600696. The Medicare Modernization Act of 2003 mandated the creation of the Medicare Part D prescription drug coverage program and provided for certain subsidies for eligible Medicare beneficiaries to help pay for the costs of prescription drugs. SSA uses Form SSA1020 (and the i1020, its electronic counterpart), the Application for Extra Help with Medicare Prescription Drug Plan Costs, to collect information to make Part D subsidy eligibility
determinations.
In compliance with Public Law 110275, beginning in January 2010,
SSA will use a new version of Form SSA1020. In this new version, SSA
will eliminate questions about the value of life insurance policies and
inkind support and maintenance, and we will ask applicants about their
interest in applying for the Medicare Savings Program. This information
collection request (ICR) is for the new version we will use in 2010.
The respondents are Medicare beneficiaries who are applying for the Medicare Part D subsidy.
Average burden Estimated
Form type Number of Frequency of per response annual burden
respondents response (minutes) (hours)
SSA1020 (paper application form)............... 560,000 1 30 280,000
i1020 (online application)...................... 240,000 1 40 160,000
Field office interview.......................... 200,000 1 30 100,000
Totals...................................... 1,000,000 .............. .............. 540,000
2. Medicare Subsidy Quality Review Forms20 CFR 418(b)(5)0960 0707. The Medicare Modernization Act of 2003 mandated the creation of the Medicare Part D prescription drug coverage program and provided for certain subsidies for eligible Medicare beneficiaries to help pay for the costs of prescription drugs. As part of its stewardship duties of the Medicare Part D subsidy program, SSA must conduct periodic quality review checks of the information Medicare beneficiaries report on their subsidy applications (Form SSA1020). SSA uses the Medicare Quality Review program to conduct these checks.
Beginning in January 2010, SSA will revise the Medicare Quality
Review system to comply with Public Law 110275. Specifically, we will:
(1) Eliminate the use of Form SSA9309, the Life Insurance Verification
form; and (2) remove any questions about life insurance policy values
and inkind support and maintenance from the other forms in the
collection. This ICR is for the revised Medicare Quality Review System,
which we will not use until January 2010. The respondents are
applicants for the Medicare Part D subsidy whom we have chosen to undergo a Quality Review.
Average
Number of Frequency of burden per Estimated
Form number and name respondents response response annual burden
(minutes) (hours)
SSA9301 (Medicare Subsidy Quality Review Case 5,000 1 30 2,500 Analysis Questionnaire)........................
[[Page 79538]]
SSA9302 (Notice of Quality Review 5,000 1 15 1,250 Acknowledgement Form for those with Phones)....
SSA9303 (Notice of Quality Review 500 1 15 125 Acknowledgement Form for those without Phones).
SSA9304 (Checklist of Required Information; .............. .............. .............. .............. burden accounted for with forms SSA9302, SSA
9303, SSA9311, SSA9314)......................
SSA9308 (Request for Information).............. 10,000 1 15 2,500
SSA9310 (Request for Documents)................ 5,000 1 5 417
SSA9311 (Notice of AppointmentDenial 450 1 15 113 Reviewer Will Call)............................
SSA9312 (Notice of AppointmentDenialPlease 50 1 15 13 Call Reviewer).................................
SSA8510 (Authorization to the Social Security 5,000 1 5 417 Administration to Obtain Personal Information).
SSA9313 (Notice of Quality Review 2,500 1 15 625 Acknowledgement Form for those with Phones)....
SSA9314 (Notice of Quality Review 500 1 15 125 Acknowledgement Form for those without Phones).
Totals...................................... 34,000 .............. .............. 8,085
3. Redetermination of Eligibility for Help with Medicare Prescription Drug Plan Costs09600723. As required by the Medicare Modernization Act of 2003 (Pub. L. 108173), SSA conducts lowincome subsidy eligibility redeterminations for Medicare beneficiaries who filed for the subsidy and were determined by SSA to be eligible. SSA will conduct subsidy eligibility redeterminations under two circumstances: (1) When an individual completes Form SSA1026OCRSM SCE to report a subsidychanging event (marriage, separation from a spouse, separated spouses resume living together, divorce, annulment, or death); and (2) When SSA uses Form SSA1026OCRSMREDE to conduct an annual review of individuals who became entitled during the prior 12 months, an annual review of a percentage of individuals who are eligible for more than 12 months, and a review of individuals who report a change in income, resources, or household size that may affect the subsidy amount.
In compliance with Public Law 110275, SSA will use a new version of Form SSA1026 beginning in January 2010. In this new version, SSA will eliminate questions about the value of life insurance policies and inkind support and maintenance. 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. Average Number of Frequency of burden per Estimated Form respondents response (per response (in annual burden year) minutes) (in hours) SSA1026OCRSMSCE............................. 249,652 1 20 83,217 SSA1026OCRSMREDE or SSA1026B.............. 11,984 1 20 3,995
Total....................................... 261,636 .............. .............. 87,212
Dated: December 19, 2008.
John Biles,
Reports Clearance Officer, Center for Reports Clearance, Social Security Administration.
[FR Doc. E830801 Filed 122408; 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 requiring clearance by the Office of Management and Budget (OMB) in compliance with Public Law (Pub. L.) 10413, the Paperwork Reduction Act of 1995, effective October 1, 1995. This notice includes revisions to existing OMBapproved 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 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 Reports Clearance Officer to the addresses or fax numbers listed below.
(OMB), Office of Management and Budget, Attn: Desk Officer for SSA,
Fax: 2023956974, Email address: OIRA_Submission@omb.eop.gov.
(SSA), Social Security Administration, DCBFM, Attn: Reports
Clearance Officer, 1332 Annex Building, 6401 Security Blvd., Baltimore,
MD 21235, Fax: 4109656400, Email address: OPLM.RCO@ssa.gov.
The information collections below are pending at SSA. SSA will submit them to OMB within 60 days from the date of this notice. Therefore, your comments would be most helpful if you submit them to SSA within 60 days from the date of this publication. Individuals can obtain copies of these collection instruments by calling the SSA Reports Clearance Officer at 4109650454 or by writing to the email address listed above.
1. Application for EXTRA Help with Medicare Prescription Drug Plan Costs20 CFR 418.310109600696. The Medicare Modernization Act of 2003 mandated the creation of the Medicare Part D prescription drug coverage program and provided for certain subsidies for eligible Medicare beneficiaries to help pay for the costs of prescription drugs. SSA uses Form SSA1020 (and the i1020, its electronic counterpart), the Application for Extra Help with Medicare Prescription Drug Plan Costs, to collect information to make Part D subsidy eligibility
determinations.
In compliance with Public Law 110275, beginning in January 2010,
SSA will use a new version of Form SSA1020. In this new version, SSA
will eliminate questions about the value of life insurance policies and
inkind support and maintenance, and we will ask applicants about their
interest in applying for the Medicare Savings Program. This information
collection request (ICR) is for the new version we will use in 2010.
The respondents are Medicare beneficiaries who are applying for the Medicare Part D subsidy.
Average burden Estimated
Form type Number of Frequency of per response annual burden
respondents response (minutes) (hours)
SSA1020 (paper application form)............... 560,000 1 30 280,000
i1020 (online application)...................... 240,000 1 40 160,000
Field office interview.......................... 200,000 1 30 100,000
Totals...................................... 1,000,000 .............. .............. 540,000
2. Medicare Subsidy Quality Review Forms20 CFR 418(b)(5)0960 0707. The Medicare Modernization Act of 2003 mandated the creation of the Medicare Part D prescription drug coverage program and provided for certain subsidies for eligible Medicare beneficiaries to help pay for the costs of prescription drugs. As part of its stewardship duties of the Medicare Part D subsidy program, SSA must conduct periodic quality review checks of the information Medicare beneficiaries report on their subsidy applications (Form SSA1020). SSA uses the Medicare Quality Review program to conduct these checks.
Beginning in January 2010, SSA will revise the Medicare Quality
Review system to comply with Public Law 110275. Specifically, we will:
(1) Eliminate the use of Form SSA9309, the Life Insurance Verification
form; and (2) remove any questions about life insurance policy values
and inkind support and maintenance from the other forms in the
collection. This ICR is for the revised Medicare Quality Review System,
which we will not use until January 2010. The respondents are
applicants for the Medicare Part D subsidy whom we have chosen to undergo a Quality Review.
Average
Number of Frequency of burden per Estimated
Form number and name respondents response response annual burden
(minutes) (hours)
SSA9301 (Medicare Subsidy Quality Review Case 5,000 1 30 2,500 Analysis Questionnaire)........................
[[Page 79538]]
SSA9302 (Notice of Quality Review 5,000 1 15 1,250 Acknowledgement Form for those with Phones)....
SSA9303 (Notice of Quality Review 500 1 15 125 Acknowledgement Form for those without Phones).
SSA9304 (Checklist of Required Information; .............. .............. .............. .............. burden accounted for with forms SSA9302, SSA
9303, SSA9311, SSA9314)......................
SSA9308 (Request for Information).............. 10,000 1 15 2,500
SSA9310 (Request for Documents)................ 5,000 1 5 417
SSA9311 (Notice of AppointmentDenial 450 1 15 113 Reviewer Will Call)............................
SSA9312 (Notice of AppointmentDenialPlease 50 1 15 13 Call Reviewer).................................
SSA8510 (Authorization to the Social Security 5,000 1 5 417 Administration to Obtain Personal Information).
SSA9313 (Notice of Quality Review 2,500 1 15 625 Acknowledgement Form for those with Phones)....
SSA9314 (Notice of Quality Review 500 1 15 125 Acknowledgement Form for those without Phones).
Totals...................................... 34,000 .............. .............. 8,085
3. Redetermination of Eligibility for Help with Medicare Prescription Drug Plan Costs09600723. As required by the Medicare Modernization Act of 2003 (Pub. L. 108173), SSA conducts lowincome subsidy eligibility redeterminations for Medicare beneficiaries who filed for the subsidy and were determined by SSA to be eligible. SSA will conduct subsidy eligibility redeterminations under two circumstances: (1) When an individual completes Form SSA1026OCRSM SCE to report a subsidychanging event (marriage, separation from a spouse, separated spouses resume living together, divorce, annulment, or death); and (2) When SSA uses Form SSA1026OCRSMREDE to conduct an annual review of individuals who became entitled during the prior 12 months, an annual review of a percentage of individuals who are eligible for more than 12 months, and a review of individuals who report a change in income, resources, or household size that may affect the subsidy amount.
In compliance with Public Law 110275, SSA will use a new version of Form SSA1026 beginning in January 2010. In this new version, SSA will eliminate questions about the value of life insurance policies and inkind support and maintenance. 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. Average Number of Frequency of burden per Estimated Form respondents response (per response (in annual burden year) minutes) (in hours) SSA1026OCRSMSCE............................. 249,652 1 20 83,217 SSA1026OCRSMREDE or SSA1026B.............. 11,984 1 20 3,995
Total....................................... 261,636 .............. .............. 87,212
Dated: December 19, 2008.
John Biles,
Reports Clearance Officer, Center for Reports Clearance, Social Security Administration.
[FR Doc. E830801 Filed 122408; 8:45 am]
BILLING CODE 419102P