[Federal Register Volume 72, Number 21 (Thursday, February 1, 2007)]
[Notices]
[Page 4764]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-1625]


=======================================================================
-----------------------------------------------------------------------

SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Request and 
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 Public Law 
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. 
The information collection packages that may be included in this notice 
are for new information collections and revisions to OMB-approved 
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 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:

(OMB), Office of Management and Budget, Attn: Desk Officer for SSA, 
Fax: 202-395-6974.
(SSA), Social Security Administration, DCFAM, Attn: Reports Clearance 
Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore, MD 21235, 
Fax: 410-965-6400.

    I. The information collection listed below is pending at SSA and 
will be submitted to OMB within 60 days from the date of this notice. 
Therefore, your comments should be submitted to SSA within 60 days from 
the date of this publication. You can obtain copies of the collection 
instrument 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 full approval for a collection 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.
    II. The information collection listed below has been submitted to 
OMB for clearance. Your comments on the information collection 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 package by 
calling the SSA Reports Clearance Officer at 410-965-0454, or by 
writing to the address listed above.
    Representative Payee Report--20 CFR 404.265 and 416.665--0960-0691. 
Form SSA-6234 is used to collect information from organizational 
representative payees, such as institutions, to determine if (1) 
payments sent to these representative payees have been used for Social 
Security beneficiaries' current maintenance and personal needs; (2) the 
representative payees continue to be capable representatives concerned 
with beneficiaries' welfare; and (3) the representative payee 
organization is charging the beneficiary a fee, and if so, the amount 
of the fee. The respondents are organizational representative payees.
    Type of Request: Revision of an OMB-approved collection.
    Number of Respondents: 750,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 187,500.

    Dated: January 26, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
 [FR Doc. E7-1625 Filed 1-31-07; 8:45 am]
BILLING CODE 4191-02-P