[Code of Federal Regulations] [Title 7 Volume 4] [Revised as of January 1, 2001] From the U.S. Government Printing Office via GPO Access [CITE: 7CFR272.8] [Page 575-581] TITLE 7--AGRICULTURE CHAPTER II--FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE PART 272--REQUIREMENTS FOR PARTICIPATING STATE AGENCIES--Table of Contents Sec. 272.8 State income and eligibility verification system. (a) General. (1) State agencies shall maintain and use an income and eligibility verification system (IEVS), as specified in this section. By means of the IEVS, State agencies shall request wage and benefit information from the agencies identified in this paragraph and use that information in verifying eligibility for and the amount of food stamp benefits due to eligible households. Such information shall be requested and used with respect to all household members, including any considered excluded household members as specified in Sec. 273.11(c) whenever the SSNs of such excluded household members are available to the State agency. If not otherwise documented, State agencies shall obtain written agreements from these information provider agencies that they shall not record any information about individual food stamp households and that staff in those agencies are subject to the disclosure restrictions of Sec. 272.1(c). The wage and benefit information and agencies are: (i) Wage information maintained by the State Wage Information Collection Agency (SWICA); (ii) Information about net earnings from self-employment, wages, and payments of retirement income maintained by the Social Security Administration (SSA) and available pursuant to section 6103(1)(7)(A) of the Internal Revenue Service (IRS) Code; and Federal retirement, and survivors, disability, SSI and related benefit information available from SSA; (iii) Unearned income information from the IRS available pursuant to section 6103(1)(7)(B) of the IRS Code; and (iv) Claim information from the agency administering Unemployment Insurance Benefits (UIB) and any information in addition to information about wages and UIB available from the agency which is useful for verifying eligibility and benefits, subject to the provisions and limitations of section 303(d) of the Social Security Act. (2) State agencies shall exchange with State agencies administering certain other programs in the IEVS information about food stamp households' circumstances which may be of use in establishing or verifying eligibility or benefit amounts under the Food Stamp Program and those programs. State agencies may exchange such information with these agencies in other States when they determine that the same objectives are likely to be met. These programs are: (i) The Temporary Assistance for Needy Families (TANF); (ii) Medicaid; (iii) Unemployment Compensation (UC); (iv) Food Stamps; and (v) Any State program administered under a plan approved under title I, X, or XIV (the adult categories), or title XVI of the Social Security Act. (3) State agencies shall provide information to people administering the Child Support Program (title IV-D of the Social Security Act) and titles II (Federal Old Age, Survivors, and Disability Insurance Benefits) and XVI (Supplemental Security Income for the Aged, Blind, and Disabled) of the Social Security Act. (4) Agreements. (i) Prior to requesting or exchanging information with other agencies, State agencies shall execute data exchange agreements with those agencies. The agreements shall specify the information to be exchanged and the procedures which will be used in the exchange of information. These agreements shall be part of the State agency's Plan of Operation, as required by paragraph (i) of this section. These agreements shall cover at least the following areas: (A) Identification of positions of all agency officials with authority to request wage information; [[Page 576]] (B) Methods and timing of the requests for any types of information, including the formats to be used; (C) The safeguards limiting release or redisclosure as required by Federal or State law or regulation as discussed in Sec. 272.1(c) and as may be required by other guidelines published by the Secretary; and (D) Reimbursement agreements, as appropriate, including new developmental costs associated with the furnishing of data. (ii) Agreements with SWICA's and agencies providing UIB data shall specify State agency access no less frequently than twice a month for applicants. (5) Uses of data. The State agency shall use information obtained by means of the IEVS for the purposes of: (i) Verifying a household's eligibility; (ii) Verifying the proper amount of benefits; (iii) Investigating to determine whether participating households received benefits to which they were not entitled; and (iv) Obtaining information which will be used in conducting criminal or civil prosecutions based on receipt of food stamp benefits to which participating households were not entitled. (b) State wage information. The wage information maintained by a SWICA which is not a UC agency or which is a UC agency but does not use wage data for determining UIB shall: (1) Contain the Social Security Number (SSN), the last name, wages earned for the period of the report for each employee, and an identifier of the employer such as name and address; (2) Include all employers covered by the State's UC law; (3) Be accumulated by employers for no longer periods than calendar quarters and be reported by employers to the SWICA within 30 days of the end of each quarter; (4) Be machine readable; and (5) Be accessible to agencies in other States which have executed agreements as required in paragraph (a)(4) of this section and to the Social Security Administration as specified in paragraph (a)(3) of this section for verifying eligibility and benefits under tities II and XVI of the Social Security Act. (c) Alternate data sources. The Secretary may, upon a State agency's application which is included in the attachment to the Plan of Operation specified in paragraph (i) of this section, permit a State agency to request and use income information from an alternate source or sources in order to meet any requirement of paragraph (a) of this section. The application shall document that the alternate source or sources provides accurate and timely information that is as useful for verifying eligibility and benefit amounts. State agencies shall comply with the requirements specified in paragraph (a) of this section unless this application for an alternate source has been approved. The Secretary shall consult with the Secretary of the Department of Health and Human Services and with the Secretary of the Department of Labor prior to approval of any alternate data source. (d) Form of data requests and exchanges. Requests for wage and benefit information and exchanges of eligibility and benefit information with the programs specified in paragraph (a) of this section shall be in the standardized formats established by the Secretary of Health and Human Services (in consultation with the Secretary) and required by the Secretary for SWICA, UC and other States, and in the formats prescribed by the Commissioners of SSA and IRS for SSA and IRS requests. (e) Requesting and using information for applicants. State agencies shall request and use information about members of all applicant households as specified below. (1) Information shall be requested at the next available opportunity after the date of application even if the applicant household has been determined eligible by that time. Information about members of applicant households who cannot provide SSNs at application shall be requested at the next available opportunity after the State agency is notified of their SSN's. Information received within the 30-day application period shall be used to determine household eligibility and benefits, if the information is received timely enough that it can be used for that determination. However, State [[Page 577]] agencies shall make eligibility and benefit determinations without waiting for receipt of IEVS data so as to comply with the promptness standard of Sec. 273.2(g). Information received from a source after an eligibility determination has been made shall be used as specified in paragraphs (f) and (g) of this section. (2) Information from the SWICA, from SSA and IRS, and claim information from the agency administering UIB shall be requested and used as specified in paragraph (e)(1) of this section. Requests to SWICAs shall access the most recent SWICA data available. Requests to SSA and IRS shall be submitted according to procedures specified by the respective Commissioners of those organizations. (3) Any information other than wage and UIB which UC agencies may have and which State agencies determine would be useful in verifying eligibility or benefits of applicant households shall be requested by methods and at intervals to which State agencies and UC agencies agree and shall be used as specified in paragraph (e)(1) of this section; and (4) Exchanges of information about applicant households with other programs specified in paragraph (a) of this section shall be made as the State agency and other programs may agree. (f) Requesting information about recipients. Except as provided in paragraph (f)(7) of this section, with respect to all members of recipient households State agencies shall: (1) Request information from the SWICA quarterly, such requests including all households which participated in any month of the quarter; (2) Request information about household members from SSA data bases no later than the second month of the certification period, when requests at application did not establish automatic reporting to the State agency of changes in SSA data. Requests shall be submitted according to procedures specified by the Commissioner of SSA; (3) Request information from IRS annually for all current recipients. Requests shall be submitted to IRS according to procedures specified by the Commissioner of IRS; (4) Exchange information with other programs specified in paragraph (a) of this section as the State agency and these other programs may agree; (5) Request information about Unemployment Insurance Benefits (UIB) from the agency administering that program as follows: (i) For all household members about whom requests at application indicate no receipt of UIB, information shall be requested for the three months subsequent to the month of application or until the receipt of UIB is reported, whichever is earlier; (ii) For all household members who report a loss of employment, information shall be requested for the three months subsequent to the month the loss is reported or until the receipt of UIB is reported, whichever is earlier; and (iii) For all household members receiving UIB, information shall be requested monthly until UIB are exhausted; and (6) Request from UC agencies any information other than UIB information which State agencies determine would be useful in verifying eligibility or benefits of recipient households. Requests shall be made by methods and at intervals to which the State agencies and the UC agencies agree. (7) Under certain conditions State agencies may exclude from the requests for information specified in this paragraph those members of recipient households who are participating in one of the other programs listed in paragraph (a)(2) of this section. The conditions for such exclusion are that: (i) The agency responsible for administering such other program is requesting and acting on information on food stamp recipients who are participating in that program as required by the pertinent regulations for that program, including any concerning selective criteria for information items for follow-up action; (ii) The other program agency agrees to inform the State agency of the information obtained from its follow-up action when that action discovers discrepancies between actual circumstances of food stamp recipients and circumstances known by the other program agency; [[Page 578]] (iii) The other program agency agrees to make available, upon the request of the State agency, information items about food stamp recipients which it did not follow up on; and (iv) The follow-up action taken by the other program agency is at least as beneficial as such action by the State agency. (g) Actions on recipient households. With respect to information items received as a result of requests made according to paragraph (f) of this section, State agencies shall initiate and pursue action according to the attachment to the Plan of Operation specified in paragraph (i) of this section. (1) State agency action on information items about recipient households shall include: (i) Review of the information and comparison of it to case record information; (ii) For all new or previously unverified information received, contact with the households and/or collateral contacts to resolve discrepancies as specified in Secs. 273.2(f)(4)(iv) and 273.2(f)(9)(iii) and (iv); and (iii) If discrepancies warrant reducing benefits or terminating eligibility, notices of adverse action. (2) State agencies shall initiate and pursue the actions specified in paragraph (g)(1) of this section so that the actions are completed within 45 days of receipt of the information items. Actions may be completed later than 45 days from the receipt of information items on no more than 20 percent of the information items if: (i) The only reason that the actions cannot be completed is the nonreceipt of verification requested from collateral contacts; and (ii) The actions are completed as specified in Sec. 273.12 when verification from a collateral contact is received or in conjunction with the next case action when such verification is not received, whichever is earlier. (3) When the actions specified in paragraph (g)(1) of this section substantiate an overissuance, State agencies shall establish and take actions on claims as specified in Sec. 273.18. (4) State agencies shall use appropriate procedures to monitor the timeliness requirements in paragraph (g)(2) of this section. (5) Except for the claims actions specified in paragraph (g)(3) of this section, under the conditions of paragraph (f)(7) of this section, State agencies may exclude from the actions required in paragraph (g) of this section information items pertaining to household members who are participating in one of the other programs listed in paragraph (a)(2) of this section. (h) IEVS information and quality control. The requirements of this section do not relieve the State agency of its responsibility for determining erroneous payments and/or its liability for such payments as specified in part 275 of this title (which pertains to quality control) and in guidelines on quality control established under that part. State agencies shall make available to quality control reviewers information items which are not selected for follow-up action because of the use of targeting methods specified in paragraph (i)(3) of this section including any information items not selected by other program agencies as provided in paragraph (i)(3)(iii)(C). (i) State Plan of Operation. The requirements for the IEVS specified in this section shall be included in an attachment to the State Plan of Operation as required in Sec. 272.2(d). This document shall include: (1) A description of procedures used, and agreements with the other agencies and programs specified in paragraph (a) of this section, including steps taken to meet requirements of limiting disclosure and safeguarding of information obtained from food stamp households and third parties as specified in Sec. 272.1; (2) Any of the material concerning alternate data sources as specified in paragraph (c) of this section; (j) Reports and documentation. (1) The agency shall report as the Secretary prescribes for determining compliance with these regulations and evaluating the effectiveness of the income and eligibility verification system. (2) The State agency shall document as required by Sec. 273.2(f)(6) its use of information obtained through the IEVS [[Page 579]] both when an adverse action is and is not initiated. [Amdt. 264, 51 FR 7204, Feb. 28, 1986, as amended at 53 FR 2822, Feb. 2, 1988; Amdt. 356, 59 FR 29713, June 9, 1994] Effective Date Note: At 53 FR 2822, Feb. 2, 1988, Sec. 272.8, was amended by revising paragraph (f) introductory text, adding (f)(7), revising (g), adding a sentence to the end of (h) and revising (i) and (j)(1), effective in part upon approval by the Office of Management and Budget. Paragraphs (i)(3) and (4) and (j)(1) are published below and will become effective upon publication of a notice in the Federal Register. Sec. 272.8 State income and eligibility verification system. * * * * * (i) * * * (3) For each of the data sources specified in paragraphs (c) and (f) of this section, a separate description of how the State agency will select (target) information items for the actions specified in paragraph (g)(1) of this section. The description shall: (i) Describe the targeting method which will be used including such details as: What selective criteria (thresholds) are used, including (when feasible) assurances that the most cost-beneficial data are targeted in instances of redundancy across data sources; what program standards and/or information about households are used, if any; whether the criteria are applied on the basis of individual or groups of information items, and about individual household members or households; and whether the criteria are applied before any follow-up action specified in paragraph (g) of this section are initiated or are applied as part of the comparison of match results to casefile information; (ii) State the approximate number of information items which will be acted on and the approximate percentage that that number is of the number of information items received; (iii) Include a sufficiently comprehensive and detailed cost-benefit analysis to justify the targeting method. If the State agency will follow-up on all information items received, it shall certify in its Plan of Operation that it performed an analysis which showed that 100 percent follow up is cost beneficial. If the targeting method will select certain information items for follow up, the justification shall show that following up on more information items than selected would not be cost-beneficial. (A) Total costs shall include both the Federal and State share of administrative costs. The elements of the total costs shall be limited to the costs of targeting and follow-up action. The justification shall include an estimate of the cost per follow-up action. No costs for any developmental, start-up and other one-time costs or indirect ongoing costs shall be included. (B) Total benefits shall include such quantifiable factors as the amounts of collections on claims established because of IEVS-obtained information, and the amounts of overissuances and the total of Federal and State administrative costs avoided due to terminating participation and reducing benefits. (C) As provided in paragraphs (f)(7) and (g)(5) of this section, the State agency may exclude household members from match requests or exclude information items about them from follow up. If the State agency wants to make either of such exclusions, in its cost-benefit justification it shall provide certain information. First, the State agency shall identify the program involved and state that the agency responsible for administering the program meets the conditions of paragraphs (f)(7)(i), (ii) and (iii) of this section. Second, the State agency shall summarize the methods for targeting, or for otherwise selecting information items for follow-up action, used by the other program agency as required in paragraph (f)(7)(i) of this section. In that summary, the State agency shall explain why those actions are at least as beneficial as the action which the State agency would take to comply with paragraph (g) of this section. The summary shall be based on the State agency's review of the description of the targeting or other selection methods as provided by the other program agency; and (4) The State agency shall submit revisions to the attachment as warranted by information in the annual report required in paragraph (j)(l) of this section. (j) Reports and documentation. (1) The State agency shall annually assess the targeting aspects of its IEVS specified in paragraph (i)(3) of this section and shall report that assessment to FNS. Such reports shall cover a Federal Fiscal Year (October 1 through September 30) and are due to the appropriate FNS Regional Office by December 31 following the particular Fiscal Year. In the reports the State agency shall provide the following information about its targeting activities separately for each data source: (i) The actual number of information items acted on and the percentage that that number is of the number of items received; (ii) A summary of any significant operational events and patterns in targeting, and any consequent changes made or planned in such areas as automated data processing and targeting methods; and (iii) Any change to the cost-benefit justification which is required by paragraph (i)(3) of this section. [[Page 580]] Effective Date Note: By Amdt. 388, 65 FR 70192, Nov. 21, 2000, Sec. 272.8 was revised, effective January 20, 2001. For the conveniece of the user, the revised text is set forth as follows: Sec. 272.8 State income and eligibility verification system. (a) General. (1) State agencies may maintain and use an income and eligibility verification system (IEVS), as specified in this section. By means of the IEVS, State agencies may request wage and benefit information from the agencies identified in this paragraph (a)(1) and use that information in verifying eligibility for and the amount of food stamp benefits due to eligible households. Such information may be requested and used with respect to all household members, including any considered excluded household members as specified in Sec. 273.11(c) of this chapter whenever the SSNs of such excluded household members are available to the State agency. If not otherwise documented, State agencies must obtain written agreements from these information provider agencies affirming that they must not record any information about individual food stamp households and that staff in those agencies are subject to the disclosure restrictions of the information provider agencies and Sec. 272.1(c). The information provider agencies, at a minimum, are: (i) The State Wage Information Collection Agency (SWICA) which maintains wage information; (ii) The Social Security Administration (SSA) which maintains information about net earnings from self-employment, wages, and payments of retirement income, which is available pursuant to section 6103(1)(7)(A) of the Internal Revenue Service (IRS) Code; and information which is available from SSA regarding Federal retirement, and survivors, disability, SSI and related benefits; (iii) The IRS from which unearned income information is available pursuant to section 6103(1)(7)(B) of the IRS Code; and (iv) The agency administering Unemployment Insurance Benefits (UIB) which maintains claim information and any information in addition to information about wages and UIB available from the agency which is useful for verifying eligibility and benefits, subject to the provisions and limitations of section 303(d) of the Social Security Act. (2) State agencies may exchange with State agencies administering certain other programs in the IEVS information about food stamp households' circumstances which may be of use in establishing or verifying eligibility or benefit amounts under the Food Stamp Program and those programs. State agencies may exchange such information with these agencies in other States when they determine that the same objectives are likely to be met. These programs are: (i) Temporary Assistance for Needy Families; (ii) Medicaid; (iii) Unemployment Compensation (UC); (iv) Food Stamps; and (v) Any State program administered under a plan approved under title I, X, or XIV (the adult categories), or title XVI of the Social Security Act. (3) State agencies must provide information to those administering the Child Support Program (title IV-D of the Social Security Act) and titles II (Federal Old Age, Survivors, and Disability Insurance Benefits) and XVI (Supplemental Security Income for the Aged, Blind, and Disabled) of the Social Security Act. (4) Prior to requesting or exchanging information with other agencies, State agencies must execute data exchange agreements with those agencies. The agreements must specify the information to be exchanged and the procedures which will be used in the exchange of information. These agreements are not part of the State agency's Plan of Operation. (b) Alternate data sources. A State agency may continue to use income information from an alternate source or sources to meet any requirement under paragraph (a) of this section. (c) Actions on recipient households. (1) State agency action on information items about recipient households shall include: (i) Review of the information and comparison of it to case record information; (ii) For all new or previously unverified information received, contact with the households and/or collateral contacts to resolve discrepancies as specified in Secs. 273.2(f)(4)(iv) and 273.2 (f)(9)(iii) and (f)(9)(iv); and (iii) If discrepancies warrant reducing benefits or terminating eligibility, notices of adverse action. (2) State agencies must initiate and pursue the actions on recipient households specified in paragraph (c)(1) of this section so that the actions are completed within 45 days of receipt of the information items. Actions may be completed later than 45 days from the receipt of information if: (i) The only reason that the actions cannot be completed is the nonreceipt of verification requested from collateral contacts; and (ii) The actions are completed as specified in Sec. 273.12 of this chapter when verification from a collateral contact is received or in conjunction with the next case action when such verification is not received, whichever is earlier. (3) When the actions specified in paragraph (c)(1) of this section substantiate an overissuance, State agencies must establish [[Page 581]] and take actions on claims as specified in Sec. 273.18 of this chapter. (4) State agencies must use appropriate procedures to monitor the timeliness requirements in paragraph (c)(2) of this section. (5) Except for the claims actions specified in paragraph (c)(3) of this section, State agencies may exclude from the actions required in paragraph (c) of this section information items pertaining to household members who are participating in one of the other programs listed in paragraph (a)(2) of this section. (d) IEVS information and quality control. The requirements of this section do not relieve the State agency of its responsibility for determining erroneous payments and/or its liability for such payments as specified in part 275 of this chapter (which pertains to quality control) and in guidelines on quality control established under that part. (e) Documentation. The State agency must document, as required by Sec. 273.2(f)(6) of this chapter, information obtained through the IEVS both when an adverse action is and is not instituted.