[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