12068 Federal Register / Vol. 86, No. 38 / Monday, March 1, 2021 / Notices 

SOCIAL SECURITY ADMINISTRATION 

[Docket No: SSA–2021–0003] 

Agency Information Collection 

Activities: Proposed Request and 

Comment 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 104–13, the Paperwork 

Reduction Act of 1995, effective October 

1, 1995. This notice includes revisions 

of 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 ways to 

minimize burden on respondents, 

including the use of automated 

collection techniques or other forms of 

information technology. Mail, email, or 

fax your comments and 

recommendations on the information 

collection(s) to the OMB Desk Officer 

and SSA Reports Clearance Officer at 

the following addresses or fax numbers. 

(OMB) Office of Management and 

Budget, Attn: Desk Officer for SSA 

Comments: https://www.reginfo.gov/ 

public/do/PRAMain. Submit your 

comments online referencing Docket ID 

Number [SSA–2021–0003]. 

(SSA) Social Security Administration, 

OLCA, Attn: Reports Clearance 

Director, 3100 West High Rise, 6401 

Security Blvd., Baltimore, MD 21235, 

Fax: 410–966–2830, Email address: 

OR.Reports.Clearance@ssa.gov 

Or you may submit your comments 

online through https://www.reginfo.gov/ 

public/do/PRAMain, referencing Docket 

ID Number [SSA–2021–0003]. 

I. The information collections below 

are pending at SSA. SSA will submit 

them to OMB within 60 days from the 

date of this notice. To be sure we 

consider your comments, we must 

receive them no later than April 30, 

2021. Individuals can obtain copies of 

the collection instruments by writing to 

the above email address. 

1. Certification by Religious Group— 

20 CFR 404.1075—0960–0093. SSA is 

responsible for determining whether 

religious groups meet the qualifications 

exempting certain members and sects 

from payment of Self-Employment 

Contribution Act taxes under the 

Internal Revenue Code, Section 1402(g). 

SSA sends Form SSA–1458, 

Certification by Religious Group, to a 

group’s authorized spokesperson to 

complete and verify organizational 

members meet or continue to meet the 

criteria for exemption. The respondents 

are spokespersons for religious groups 

or sects. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Total annual 

opportunity 

cost 

(dollars) ** 

SSA–1458 ................................................ 142 1 45 107 * $25.72 ** $2,752 

* We based this figure on the average U.S. citizen’s hourly salary, as reported by the U.S. Bureau of Labor Statistics (https://www.bls.gov/oes/ 

current/oes_nat.htm). 

** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to 

respondents to complete the application. 

2. Filing Claims Under the Federal 

Tort Claims Act—20 CFR 429.101– 

429.110—0960–0667. The Federal Tort 

Claims Act (FTCA) is the mechanism for 

compensating people who Federal 

employees injured through negligent or 

wrongful acts that occurred during the 

performance of those employees’ official 

duties. SSA accepts claims filed under 

the FTCA for damages against the 

United States; loss of property; personal 

injury; or death resulting from an SSA 

employee’s wrongful act or omission. 

The various types of claims included 

under this information collection 

request require claimants to provide 

information SSA can use to determine 

whether to make an award, compromise, 

or settlement under the FTCA. The 

respondents are individuals or entities 

making a claim under the FTCA. 

Type of Request: Revision of an OMBapproved information collection. 

Regulation citations Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) ** 

Total annual 

opportunity 

cost 

(dollars) *** 

429.102; 429.103 * ................................... 1 1 1 0 ** $25.72 *** $0 

429.104(a) ................................................ 11 1 5 1 ** 25.72 *** 26 

429.104(b) ................................................ 43 1 5 4 ** 25.72 *** 103 

429.104(c) ................................................ 1 1 5 0 ** 25.72 *** 0 

429.106(b) ................................................ 8 1 10 1 ** 25.72 *** 26 

Totals ................................................ 64 ........................ ........................ 6 ........................ *** 155 

* We are including a one-hour placeholder burden for 20 CFR 429.102 and 429.103, as respondents complete OMB-approved Form SF–95, 

OMB No. 1105–0008. Since the burden for these citations is covered under a separate OMB number, we are not double-counting the burden 

here. 

** We based this figure on the average U.S. citizen’s hourly salary, as reported by the U.S. Bureau of Labor Statistics (https://www.bls.gov/oes/ 

current/oes_nat.htm). 

*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; 

rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual 

charge to respondents to complete the application. 

Federal Register / Vol. 86, No. 38 / Monday, March 1, 2021 / Notices 12069 

3. Application for Extra Help with 

Medicare Prescription Drug Plan 

Costs—20 CFR 418.3101—0960–0696. 

The Medicare Modernization Act of 

2003 mandated the creation of the 

Medicare Part D prescription drug 

coverage program and the provision of 

subsidies for eligible Medicare 

beneficiaries. SSA uses Form SSA– 

1020, or the internet version, i1020, the 

Application for Extra Help with 

Medicare Prescription Drug Plan Costs, 

to obtain income and resource 

information from Medicare 

beneficiaries, and to make a subsidy 

decision. The respondents are Medicare 

beneficiaries applying for the Part D 

low-income subsidy. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency 

of 

response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Average 

wait time in 

field office 

(minutes) ** 

Total annual 

opportunity 

cost 

(dollars) *** 

SSA–1020 (paper applications) ............................. 448,836 1 30 224,418 * $25.72 0 *** $5,772,031 

i1020 (online applications) 365,871 1 25 152,446 25.72 0 *** 3,920,911 

Field Office Interviews ..... 85,873 1 30 42,937 * 25.72 ** 24 *** 1,987,796 

Totals ........................ 900,580 .................... .................... 419,801 ........................ ........................ *** 11,680,738 

* We based this figure on the average U.S. citizen’s hourly salary, as reported by the U.S. Bureau of Labor Statistics (https://www.bls.gov/oes/ 

current/oes_nat.htm). 

** We based this figure on the average FY 2020 wait times for field offices, based on SSA’s current management information data.

*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; 

rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual 

charge to respondents to complete the application. 

4. Rules of Conduct and Standards of 

Responsibility for Appointed 

Representatives—20 CFR 

404.1740(b)(5), 404.1740(b)(6), 

404.1740(b)(9), 416.1540(b)(5), 

416.1540(b)(6), and 416.1540(b)(9)— 

0960–0804. Section 205(a) of the Social 

Security Act (Act) authorizes SSA’s 

Commissioner to make rules and 

regulations and to establish procedures 

which are necessary or appropriate. 

Section 1631(d)(1) of the Act 

incorporates section 205(a) and applies 

it to Title XVI of the Act. Additionally, 

sections 206(a) and 1631(d)(2) of the Act 

provide that the Commissioner has the 

authority to establish rules and 

regulations governing the recognition of 

individuals who represent claimants 

before the Commissioner. Individuals 

appointed to represent claimants before 

SSA must report to SSA in writing 

whenever one of the following 

situations in our revised regulations 

occurs: 

• 20 CFR 404.1740(b)(5) and 

416.1540(b)(5)—These sections require 

representatives to disclose to SSA in 

writing, at the time a medical or 

vocational opinion is submitted to SSA, 

or as soon as the representative is aware 

of the submission to us, if the 

representative’s employee or any 

individual contracting with the 

representative drafted, prepared, or 

issued a medical or vocational opinion 

about a claimant’s disability, or if the 

representative referred or suggested that 

the claimant seek an examination from, 

treatment by, or the assistance of the 

individual providing opinion evidence; 

• 20 CFR 404.1740(b)(6) and 

416.1540(b)(6)—These sections require 

representatives to disclose to SSA 

immediately if the representative 

discovers that his or her services are or 

were used by the claimant to commit 

fraud against SSA; 

• 20 CFR 404.1740(b)(7) and 

416.1540(b)(7)—These sections require 

representatives to disclose to SSA 

whether the representative is or has 

been disbarred or suspended from any 

bar or court to which he or she was 

previously admitted to practice, 

including instances in which a bar or 

court took administrative action to 

disbar or suspend the representative in 

lieu of disciplinary proceedings; If the 

disbarment or suspension occurs after 

the appointment of the representative, 

the representative will immediately 

disclose the disbarment or suspension 

to SSA; 

• 20 CFR 404.1740(b)(8) and 

416.1540(b)(8)—These sections require 

representatives to disclose to SSA 

whether the representative is or has 

been disqualified from participating in 

or appearing before any Federal program 

or agency, including instances in which 

a Federal program or agency took 

administrative action to disqualify the 

representative in lieu of disciplinary 

proceedings. If the disqualification 

occurs after the appointment of the 

representative, the representative will 

immediately disclose the 

disqualification to SSA; and 

• 20 CFR 404.1740(b)(9) and 

416.1540(b)(9)—These sections require 

representatives to disclose to SSA 

whether the representative has been 

removed from practice or suspended by 

a professional licensing authority for 

reasons that reflect on the 

representative’s character, integrity, 

judgment, reliability, or fitness to serve 

as a fiduciary. If the removal or 

suspension occurs after the appointment 

of the representative, the representative 

will immediately disclose the removal 

or suspension to SSA. 

A representative’s obligation to report 

these events is ongoing, and SSA 

requires representatives to report any 

time one or more of these events occurs. 

We consider this information essential 

to ensure the integrity of our 

administrative process and to safeguard 

the rights of all claimants. SSA requires 

representatives to notify SSA in writing, 

but there is no prescribed format for 

these reports. The respondents are 

individuals appointed to represent 

claimants before SSA. 

Type of Request: Revision of an OMBapproved information collection. 

12070 Federal Register / Vol. 86, No. 38 / Monday, March 1, 2021 / Notices 

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Total annual 

opportunity 

cost 

(dollars) ** 

404.1740(b)(5)/416.1540(b)(5) ................. 43,600 1 5 3,633 * $26.45* ** $96,093 

404.1740(b)(6)/416.1540(b)(6) ................. 2 1 5 0 * 69.86 ** 0 

404.1740(b)(7)/416.1540(b)(7) ................. 50 1 5 4 * 69.86 ** 279 

404.1740(b)(8)/416.1540(b)(8) ................. 10 1 5 1 * 69.86 ** 70 

404.170(b)(9)/416.1540(b)(9) ................... 10 1 5 1 * 69.86 ** 70 

Totals ................................................ 43,672 ........................ ........................ 3,639 ........................ ** 96,512 

* We based these figures on average hourly wages for paralegals/legal assistants and lawyers as posted by the U.S. Bureau of Labor Statistics (https://www.bls.gov/oes/current/oes_nat.htm). 

** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to 

respondents to complete the application. 

II. SSA submitted the information 

collections below to OMB for clearance. 

Your comments regarding these 

information collections would be most 

useful if OMB and SSA receive them 30 

days from the date of this publication. 

To be sure we consider your comments, 

we must receive them no later than 

March 31, 2021. Individuals can obtain 

copies of these OMB clearance packages 

by writing to OR.Reports.Clearance@

ssa.gov. 

1. Letter to Employer Requesting 

Information About Wages Earned By 

Beneficiary—20 CFR 404.1520, 

404.1571–404.1576, 404.1584–404.1593, 

and 416.971–416.976—0960–0034. 

Social Security disability recipients 

receive payments based on their 

inability to engage in substantial gainful 

activity (SGA) because of a physical or 

mental condition. If the recipients work, 

SSA must evaluate if they continue to 

meet the disability requirements of the 

law. When an individual is unable to 

provide earnings information and SSA 

does not have access to proof of 

earnings, we use Form SSA–L725 to 

request monthly earnings information 

from the recipient’s employer. SSA 

employees send the paper from SSA– 

L725 to the employer to complete, and 

use the earnings data we receive from 

the employers to determine whether the 

recipient is engaging in SGA, since work 

above SGA level can cause a cessation 

of disability payments. The respondents 

are businesses that employ Social 

Security disability recipients. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Total annual 

opportunity 

cost 

(dollars) ** 

SSA–L725 ................................................ 170,000 1 40 113,333 * $22.79 ** $2,582,859 

* We based this figure on the average Payroll and Timekeeping Clerks hourly salary, as reported by the Bureau of Labor Statistics data 

(https://www.bls.gov/oes/current/oes433051.htm). 

** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual charge to 

respondents to complete the application. 

2. Request for Review of Hearing 

Decision/Order—20 CFR 404.967– 

404.981, 416.1467–416.1481—0960– 

0277. Claimants have a right under 

current regulations to request review of 

a judge’s hearing decision, or dismissal 

of a hearing request on Title II and Title 

XVI claims. Claimants may request 

Appeals Council review by filing a 

written request using paper Form HA– 

520, or the internet application, i520. 

SSA uses the information we collect to 

establish the claimant filed the request 

for review within the prescribed time, 

and to ensure the claimant completed 

the requisite steps permitting the 

Appeals Council review. The Appeals 

Council then uses the information to: (1) 

Document the claimant’s reason(s) for 

disagreeing with the judge’s decision or 

dismissal; (2) determine whether the 

claimant has additional evidence to 

submit; and (3) determine whether the 

claimant has a representative or wants 

to appoint one. The respondents are 

claimants requesting review of a judge’s 

decision or dismissal of hearing. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Average 

wait time in 

field office 

(minutes) ** 

Total annual 

opportunity 

cost 

(dollars) *** 

HA–520—Paper ........... 37,900 1 10 6,317 * $10.95 ** 24 *** $235,173 

i520—Internet ............... 113,700 1 15 28,425 * 10.95 ........................ *** 311,254 

Totals .................... 151,600 ........................ ........................ 34,742 ........................ ........................ *** 546,427 

* We based this figure on average DI payments based on SSA’s current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.pdf). 

** We based this figure on the average FY 2020 wait times for field offices, based on SSA’s current management information data.

Federal Register / Vol. 86, No. 38 / Monday, March 1, 2021 / Notices 12071 

*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; 

rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual 

charge to respondents to complete the application. 

3. Authorization to Disclose 

Information to SSA—20 CFR 404.1512 

and 416.912, 45 CFR 160 and 164— 

0960–0623. Sections 223(d)(5)(A) and 

1614(a)(3)(H)(i) of the Act require 

claimants to provide medical and other 

evidence the Commissioner of Social 

Security may require to prove they are 

disabled. SSA must obtain sufficient 

evidence to make eligibility 

determinations for Title II and Title XVI 

payments. The applicants use Form 

SSA–827, or the internet counterpart, 

i827, to provide consent for the release 

of medical records, education records, 

and other information related to their 

ability to perform tasks. Once the 

applicant completes Form SSA–827, or 

the i827, SSA or the State DDS sends 

the form to the designated source(s) to 

obtain pertinent records. The 

respondents are applicants for Title II 

and Title XVI disability payments. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency 

of response 

Average 

burden per 

response 

(minutes) 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) * 

Average 

wait time in 

field office 

(minutes) ** 

Total annual 

opportunity 

cost 

(dollars) *** 

SSA–827 with electronic 

signature (EDCS & 

eAuthorization) ............. 4,189,270 1 9 628,391 * $10.95 ........................ *** $6,880,881 

SSA–827 with wet signature (paper version) ...... 1,055,807 1 10 175,968 * 10.95 ** 24 *** 6,551,286 

Totals ........................ 5,245,077 .................... .................... 804,359 ........................ ........................ *** 13,432,167 

* We based this figure on average DI payments based on SSA’s current FY 2021 data (https://www.ssa.gov/legislation/2021FactSheet.pdf). 

** We based this figure on the average FY 2020 wait times for field offices, based on SSA’s current management information data.

*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; 

rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual 

charge to respondents to complete the application. 

4. State Death Match Collections—20 

CFR 404.301, 404.310–404.311, 404.316, 

404.330–404.341, 404.350–404.352, 

404.371, and 416.912—0960–0700. SSA 

uses the State Death Match Collections 

to ensure the accuracy of payment files 

by detecting unreported or inaccurate 

deaths of beneficiaries. Under the Act, 

entitlement to retirement, disability, 

wife’s, husband’s, or parent’s benefits 

terminate when the beneficiary dies. 

The states furnish death certificate 

information to SSA via the manual 

registration process or the Electronic 

Death Registration Process (EDR). Both 

death match processes are automated 

electronic transfers between the states 

and SSA. The respondents are the 

states’ bureaus of vital statistics. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency of 

response 

Average cost 

per record 

request 

Estimated 

total annual 

burden 

(hours) 

Average 

theoretical 

hourly cost 

amount 

(dollars) ** 

Total annual 

opportunity 

cost 

(dollars) *** 

State Death Match-CyberFusion/GSO: 

Non-EDR Records from EDR sites .. 39 68,621 $0.88 $2,355,072 ** $21.09 *** $1,447,217 

State Death Match-CyberFusion/GSO: 

Non-EDR sites .................................. 5 187,570 0.88 825,308 ** 21.09 *** 3,955,851 

Total: Non-EDR ............................ 44 ........................ ........................ 3,180,380 ........................ 5,403,068 

State Death Match-EDR ...................... 48 2,573,956 2.05 253,277,270 ** 21.09 *** 54,284,732 

States Expected to Become—State 

Death Match-EDR Within the Next 3 

Years ** ............................................. 5 62,600 3.17 992,210 ** 21.09 *** 1,320,234 

Totals: EDR and Expected EDR .. 53 ........................ ........................ 254,269,480 ........................ *** 55,604,966 

Grand Totals .......................... 97 ........................ ........................ 257,449,860 ........................ *** 61,008,034 

* Please note that both of these data matching processes are electronic and there is only a cost burden, and no hourly burden for the respondent to provide this information. 

** We based this figure on the average State BVSs hourly wages, as reported by Bureau of Labor Statistics data (https://www.bls.gov/oes/current/oes434199.htm). 

*** This figure does not represent actual costs that SSA is imposing on recipients of Social Security payments to complete this application; 

rather, these are theoretical opportunity costs for the additional time respondents will spend to complete the application. There is no actual 

charge to respondents to complete the application. 

12072 Federal Register / Vol. 86, No. 38 / Monday, March 1, 2021 / Notices 

Dated: February 24, 2021. 

Naomi Sipple, 

Reports Clearance Officer, Social Security 

Administration. 

[FR Doc. 2021–04165 Filed 2–26–21; 8:45 am] 

BILLING CODE 4191–02–P 

SOCIAL SECURITY ADMINISTRATION 

[Docket No. SSA–2020–0007] 

Privacy Act of 1974; System of 

Records 

AGENCY: Social Security Administration 

(SSA). 

ACTION: Notice of a modified system of 

records. 

SUMMARY: In accordance with the 

Privacy Act, we are issuing public 

notice of our intent to modify an 

existing system of records entitled, 

Travel and Border Crossing Records 

(60–0389), last published on March 3, 

2019. This notice publishes details of 

the modified system as set forth under 

the caption, SUPPLEMENTARY

INFORMATION. 

DATES: The system of records notice 

(SORN) is applicable upon its 

publication in today’s Federal Register, 

with the exception of the routine uses, 

which are effective March 31, 2021. We 

invite public comment on the routine 

uses or other aspects of this SORN. In 

accordance with 5 U.S.C. 552a(e)(4) and 

(e)(11), the public is given a 30-day 

period in which to submit comments. 

Therefore, please submit any comments 

by March 31, 2021. 

ADDRESSES: The public, Office of 

Management and Budget (OMB), and 

Congress may comment on this 

publication by writing to the Executive 

Director, Office of Privacy and 

Disclosure, Office of the General 

Counsel, SSA, Room G–401 West High 

Rise, 6401 Security Boulevard, 

Baltimore, Maryland 21235–6401, or 

through the Federal e-Rulemaking Portal 

at http://www.regulations.gov. Please 

reference docket number SSA–2020– 

0007. All comments we receive will be 

available for public inspection at the 

above address and we will post them to 

http://www.regulations.gov. 

FOR FURTHER INFORMATION CONTACT: 

Navdeep Sarai, Government Information 

Specialist, Privacy Implementation 

Division, Office of Privacy and 

Disclosure, Office of the General 

Counsel, SSA, Room G–401 West High 

Rise, 6401 Security Boulevard, 

Baltimore, Maryland 21235–6401, 

telephone: 410–966–5855, email: 

Navdeep.Sarai@ssa.gov. 

SUPPLEMENTARY INFORMATION: We are 

modifying the system manager to 

include up-to-date contact information 

per OMB Circular A–108, ‘‘Federal 

Agency Responsibilities for Review, 

Reporting, and Publication under the 

Privacy Act.’’ We are modifying the 

policies and practices for retention and 

disposal of records to include the 

National Archives and Records 

Administration (NARA) General 

Records Schedule (GRS) 4.2 Information 

Access and Protection Records, Item 

130, Personally Identifiable Information 

Extracts. Lastly, we are modifying the 

notice throughout to correct 

miscellaneous stylistic formatting and 

typographical errors of the previously 

published notice to ensure the language 

reads consistently across multiple 

systems. We are republishing the entire 

notice for ease of reference. 

In an effort to mitigate improper 

payments, we established the Travel 

and Border Crossing Records to collect 

information about applicants, 

beneficiaries, and recipients under 

Titles II, XVI, and XVIII who are or have 

been absent from the United States 

(U.S.) for certain periods of time. 

Generally, we rely on individuals to 

self-report their foreign travel. 

Oftentimes, we do not receive these 

reports or we receive them untimely, 

which results in improper payments. In 

general, we suspend Title II benefits to 

aliens who remain outside of the U.S. 

for more than six consecutive calendar 

months. We generally suspend Title II 

benefits to both U.S. citizens and nonU.S. citizens who travel to a country 

where payment is restricted by the U.S. 

Additionally, we suspend Title XVI 

payments to both citizen and noncitizen recipients who are outside of the 

U.S. for a full calendar month or 30 

consecutive days or longer. SSA is not 

responsible for making Title XVIII 

payment determinations on claims for 

services submitted to the Centers for 

Medicare and Medicaid Services. 

However, the information collected in 

this system will be used for two 

purposes relating to Title XVIII. First, 

because Medicare enrollment criteria 

requires residence in the U.S., SSA will 

use this information to make initial and 

reconsideration decisions on Medicare 

entitlement claims. Second, SSA will 

use this information to make 

determinations on physical presence in 

the U.S. and will update the Master 

Beneficiary Record (MBR) system of 

records with those determinations. The 

Centers for Medicare and Medicaid 

Services may use information from the 

MBR in making decisions on whether a 

Medicare claim can be paid. 

In accordance with 5 U.S.C. 552a(r), 

we provided a report to OMB and 

Congress on this modified system of 

records. 

Matthew Ramsey, 

Executive Director, Office of Privacy and 

Disclosure, Office of the General Counsel. 

System Name and Number 

Travel and Border Crossing Records, 

60–0389. 

SECURITY CLASSIFICATION: 

Unclassified. 

SYSTEM LOCATION: 

Social Security Administration, 

Deputy Commissioner of Operations, 

Office of Electronic Services and 

Technology, Division of Programmatic 

Applications, 6401 Security Boulevard, 

Baltimore, MD 21235. 

SYSTEM MANAGER(S): 

Social Security Administration, 

Deputy Commissioner of Operations, 

Office of Electronic Services and 

Technology, Division of Programmatic 

Applications, 6401 Security Boulevard, 

Baltimore, MD 21235, 410–965–5855 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

Sections 202(n), (t), and (y), 1611(f), 

1818 and 1836 of the Social Security 

Act (42 U.S.C. 402(n), (t), and (y), 

1382(f), 1395i–2, and 1395o); 8 U.S.C. 

1373(c). 

PURPOSE(S) OF THE SYSTEM: 

We will use the information in this 

system to identify applicants, 

beneficiaries, and recipients under 

Titles II, XVI, and XVIII of the Social 

Security Act who have had absences 

from the U.S. to establish or verify 

initial or ongoing entitlement to or 

eligibility for benefits or payments 

under Titles II, XVI, and XVIII of the 

Social Security Act. 

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM: 

Applicants, recipients, and 

beneficiaries under Titles II, XVI, and 

XVIII of the Social Security Act. 

CATEGORIES OF RECORDS IN THE SYSTEM: 

This system maintains information 

collected about applicants, recipients, or 

beneficiaries under Titles II, XVI, and 

XVIII of the Social Security Act who 

have had absences from the U.S. The 

information may include name, Social 

Security number (SSN), date of birth, 

gender, country of citizenship, country 

of travel, deportation information, alien 

registration number, immigration 

document type and number, travel 

mode, date and time of departure from