[Federal Register Volume 72, Number 1 (Wednesday, January 3, 2007)]
[Notices]
[Pages 175-176]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-22518]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Emergency 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 P.L. 104-13, 
the Paperwork Reduction Act of 1995, effective October 1, 1995. The 
information collection package that is included in this notice is for 
an emergency approval request for use of an existing OMB-approved form.
    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 and/or faxed to the individuals 
at the addresses and fax numbers listed below:

[[Page 176]]

    (OMB) Office of Management and Budget, Attn: Desk Officer for SSA, 
Fax: 202-395-6974. (SSA) Social Security Administration, DCBFM, Attn: 
Reports Clearance Officer, 1333 Annex Building, 6401 Security Blvd., 
Baltimore, MD 21235, Fax: 410-965-6400.
    The information collection listed directly below has been submitted 
to OMB for Emergency Clearance. SSA is requesting Emergency Clearance 
from OMB on the date this Notice is published. Please note however, 
that we will begin a regular clearance period for the collection almost 
immediately following emergency clearance, so your comments are still 
necessary and welcome. You can obtain a copy of the OMB clearance 
package 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-NEW. 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). 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 emergency approval for use of an 
existing OMB-approved information collection.
    Number of Respondents: 6,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 1,500 hours.

    Dated: December 27, 2006.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
 [FR Doc. E6-22518 Filed 12-29-06; 8:45 am]
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