[Federal Register Volume 75, Number 124 (Tuesday, June 29, 2010)]
[Notices]
[Pages 37518-37519]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-15689]
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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: [email protected].
(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: [email protected].
SSA submitted the information collection below to OMB for Emergency
Clearance. SSA is requesting Emergency Clearance from OMB no later than
July 6, 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 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 (IRS) transmits
income tax return data to SSA in order for SSA to determine the amount
of IRMAA. SSA uses Form SSA-44 to determine if a recipient qualifies
for a reduction in IRMMA. If affected Medicare Part B 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 SSA and ask for a new initial determination of their
IRMAA.
In this Information Collection Request, we are clearing minor
changes to this form needed to fulfill the
[[Page 37519]]
provisions of soon-to-be-published interim final regulations. Since the
provisions of these regulations will be effective on publication, we
are seeking emergency clearance for this form. The respondents are
Medicare Part B recipients who have a modified adjusted gross income
over a high-income ``threshold.''
Type of Request: Revision of an OMB-approved information
collection.
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Average burden
Method of information collection Number of Frequency of per response Estimated annual
respondents response (minutes) burden (hours)
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Personal Interview...................... 139,000 1 30 69,500
Form.................................... 37,000 1 45 27,750
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Totals.............................. 176,000 ................ ................ 97,250
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Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social
Security Administration.
[FR Doc. 2010-15689 Filed 6-28-10; 8:45 am]
BILLING CODE 4191-02-P