[Federal Register Volume 72, Number 61 (Friday, March 30, 2007)]
[Notices]
[Pages 15175-15176]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-5833]
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Comment Request
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 Pub. L. 104-
13, the Paperwork Reduction Act of 1995, effective October 1, 1995. The
information collection package included in this notice is for full
clearance of an existing collection currently approved by OMB on an
emergency basis.
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 OMB Desk Officer and the SSA Reports Clearance
Officer. The information can be mailed, faxed, or e-mailed to the
individuals at the addresses and fax numbers listed below:
(OMB) Office of Management and Budget, Attn: Desk Officer for SSA, Fax:
202-395-6974, E-mail address: [email protected].
(SSA) Social Security Administration, DCFAM, Attn: Reports Clearance
Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore, MD 21235,
Fax: 410-965-6400, E-mail address: [email protected].
The information collections listed below have been submitted to OMB
for clearance. Your comments on the information collections would be
most useful if received by OMB and SSA within 30 days from the date of
this publication. You can obtain a copy of the OMB clearance packages
by calling the SSA Reports Clearance Officer at 410-965-0454, or by
writing to the address listed above.
SSA Guidance for Use of the Tax Information Authorization Form--
0960-0738. The Internal Revenue Service (IRS) Form 8821 is used by
taxpayers to authorize the release of tax information to a third party.
The IRS agrees that a properly completed IRS Form 8821 is an
appropriate means of designating the Department of Health and Human
Services (HHS) to receive the tax information of a Medicare Part B
beneficiary who has appealed a determination of Income-Related Monthly
Adjustment Amount (IRMAA).
[[Page 15176]]
Specifically, Medicare Part B beneficiaries who wish to appeal SSA's
reconsideration of their IRMAA amounts will be sent a copy of the HA-
501 (Request for Hearing by an Administrative Law Judge) and with it
the IRS Form 8821, which will enable beneficiaries to authorize
disclosure of their relevant beneficiary tax data to HHS for use in
conducting the appeals hearing. The respondents are Medicare Part B
beneficiaries who want to request an appeal of their IRMAA amount.
Type of Request: Request for full approval for a collection already
cleared under OMB emergency clearance procedures.
Number of Respondents: 6,000.
Frequency of Response: 1.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 1,500 hours.
Dated: March 26, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E7-5833 Filed 3-29-07; 8:45 am]
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