Federal Register / Vol. 75, No. 221 / Wednesday, November 17, 2010 / Notices 70341 

iThe annual costs associated with the transaction 

to each company are dependent upon the number 

of SSN transactions submitted to SSA by the 

company on a yearly basis. For example, if a 

company anticipates submitting 1 million requests 

to SSA for the year, its total transaction cost for the 

year would be $5 × 1,000,000 or $5,000,000. 

Periodically, SSA will calculate its costs to provide 

CBSV services and adjust the fee charged as needed. 

SSA will notify companies in writing of any change 

and companies will have the opportunity to cancel 

the agreement or continue service using the new 

transaction fee. 

iiA company may choose to submit batch files via 

the SSA web site or submit real-time individual 

requests via the SSA Web site. There is no public 

burden cost with either of these methods using the 

CBSV system. Companies are not required to 

purchase SSA’s Web design service. To date, no 

participating companies have opted for this service. 

Requirement Number of 

respondents 

Frequency of 

response 

Number of 

responses 

Average 

burden per 

response 

(minutes) 

Estimated 

annual burden 

(hours) 

Using the system to upload request file, check status, and 

download results file ......................................................... 115 251 28,865 5 2,405 

Storing Consent Forms ........................................................ 115 251 28,865 60 28,865 

Activities related to compliance review ................................ 115 251 28,865 60 28,865 

Total .............................................................................. ........................ ........................ 115,470 ........................ 89,020 

* One-time registration; approximately 10 new participating companies per year. 

* * Please note: There are 251 Federal business days per year on which a requesting party could submit a file. 

People whose SSNs SSA Will Verify: 

Requirement Number of respondents 

Frequency of 

response 

Number of responses 

Average burden per response (minutes) 

Estimated annual burden 

(hours) 

Reading and signing authorization for SSA to release SSN 

verification ........................................................................ 986,585 1 986,585 3 49,329 

Responding to CPA re-contact ............................................ 5,750 1 5,750 5 479 

Total .............................................................................. 992,335 ........................ ........................ ........................ 49,808 

CPAs (conducting compliance 

reviews and preparing written report of 

findings): 

Number of Respondents: 115. 

Frequency of Response: 1. 

Average Burden Per Response: 4,800. 

Estimated Annual Burden: 9,200 

hours. 

Total Collective Burden: 148,028. 

Cost Burden 

The public burden cost is dependent 

upon the number of companies and 

transactions. SSA based the cost 

estimates below upon 115 participating 

companies submitting 986,585 

transactions. The total cost for 

developing the system was $5.6 million. 

SSA has already expended $3.0 million 

we will recoup over the depreciable life 

of the system based on the fee pertransaction model. 

One-Time Per Company Registration 

Fee—$5,000. 

Estimated Per SSN Transaction Fee— 

$5.00.i

Estimated Per Company Cost to Build 

Optional Web Service—$200,000.ii

Estimated Per Company Cost to Store 

Consent Forms—$300. 

Estimated Per Company Cost To 

Contract with CPA for Audit—$8,000. 

Dated: November 10, 2010. 

Liz Davidson, 

Center Director, Social Security 

Administration. 

[FR Doc. 2010–28926 Filed 11–16–10; 8:45 am] 

BILLING CODE 4191–02–P 

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 OMBapproved 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: 

OIRA_Submission@omb.eop.gov. 

(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: 

OPLM.RCO@ssa.gov. 

SSA submitted the information 

collection below to OMB for Emergency 

Clearance. SSA is requesting Emergency 

Clearance from OMB no later than 

November 22, 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 Income-Related Monthly 

Adjustment Amount—Life-Changing 

Event Form—0960–NEW. Per the 

Medicare Modernization Act of 2003, 

selected Medicare insurance recipients 

pay an income-related monthly 

adjustment amount (IRMAA). The 

Internal Revenue Service (IRS) transmits 

income tax return data to SSA for SSA 

to determine the IRMAA. SSA will use 

the new Form SSA–44 to determine if 

a recipient qualifies for a reduction in 

IRMAA. If affected Medicare 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 

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70342 Federal Register / Vol. 75, No. 221 / Wednesday, November 17, 2010 / Notices 

SSA and ask for a new initial 

determination of their IRMAA. 

We are seeking OMB clearance for a 

new SSA–44 to fulfill the provisions of 

the Patient Protection and Affordable 

Care Act (Pub. L. 111–148), which 

mandates reductions in the Federal 

Medicare Part D prescription drug 

coverage subsidies, resulting in higher 

premiums for those with income above 

a specific threshold who have this 

coverage. Since the provisions of the 

law become effective January 1, 2011, 

we are seeking emergency clearance for 

this form. The respondents are Medicare 

Part B and prescription drug coverage 

recipients and enrollees with modified 

adjusted gross income over a highincome threshold who experience one 

of the eight significant life-changing 

events. 

Type of Request: Request for a new 

information collection. 

Method of information collection Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated 

annual 

burden (hours) 

Personal Interview (SSA field office) ............................................................... 147,000 1 30 73,500 

Paper Form (mailed) ........................................................................................ 39,000 1 45 29,250 

Totals ........................................................................................................ 186,000 ........................ ........................ 102,750 

Liz Davidson, 

Center Director, Center for Reports Clearance, 

Social Security Administration. 

[FR Doc. 2010–28992 Filed 11–16–10; 8:45 am] 

BILLING CODE 4191–02–P 

DEPARTMENT OF STATE 

[Public Notice 7228] 

Privacy Act; System of Records: Equal 

Employment Opportunity Records 

SUMMARY: Notice is hereby given that 

the Department of State proposes to 

amend an existing system of records, 

Equal Employment Opportunity 

Records, State–09, pursuant to the 

provisions of the Privacy Act of 1974, as 

amended (5 U.S.C. 552a) and Office of 

Management and Budget Circular No. 

A–130, Appendix I. The Department’s 

report was filed with the Office of 

Management and Budget on October 20, 

2010. 

It is proposed that the current system 

will retain the name ‘‘Equal 

Employment Opportunity Records.’’ It is 

also proposed that the amended system 

description will include revisions/ 

additions to the following sections: 

Categories of records, Purpose, Routine 

uses, Storage, as well as other 

administrative updates. The following 

section has been added to the system of 

records, Equal Employment 

Opportunity Records, State–09, to 

ensure Privacy Act of 1974 compliance: 

Purpose. Any persons interested in 

commenting on the amended system of 

records may do so by submitting 

comments in writing to Director, Office 

of Information Programs and Services, 

A/GIS/IPS, Department of State, SA–2, 

515 22nd Street, Washington, DC 

20522–8001. This system of records will 

be effective 40 days from the date of 

publication, unless we receive 

comments that will result in a contrary 

determination. 

The amended system description, 

‘‘Equal Employment Opportunity 

Records, State–09,’’ will read as set forth 

below. 

Dated: October 20, 2010. 

Steven J. Rodriguez, 

Deputy Assistant Secretary of Operations, 

Bureau of Administration, U.S. Department 

of State. 

State–09 

SYSTEM NAME: 

Equal Employment Opportunity 

Records. 

SECURITY CLASSIFICATION: 

Unclassified. 

SYSTEM LOCATION: 

Department of State, 2201 C Street, 

NW., Washington, DC 20520. 

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM: 

Employees and applicants for 

employment who have filed formal or 

informal complaints which allege 

discrimination. 

CATEGORIES OF RECORDS IN THE SYSTEM: 

Investigative reports; employment 

applications; biographic information to 

include race, color, national origin, sex, 

sexual orientation, religion, age, 

disability, genetic information; and 

employment histories. 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

42 U.S.C. 2000e; Executive Order 

11478, as amended. 

PURPOSE(S): 

For the investigation, processing and 

resolution of formal and informal 

complaints of discrimination filed 

against the Department of State in 

accordance with 29 CFR 1614 and the 

Department’s internal procedures for 

addressing Equal Employment 

Opportunity (EEO) complaints. 

ROUTINE USES OF RECORDS MAINTAINED IN THE

SYSTEM, INCLUDING CATEGORIES OF USERS AND

PURPOSES OF SUCH USES: 

Records from this system will be 

disclosed to other federal agencies for 

purposes of investigating, processing, 

adjudicating, resolving and litigating 

EEO complaints involving more than 

one agency, or in situations where the 

Department of State has requested that 

another federal agency provide 

investigative support for an EEO 

complaint. 

The Department of State periodically 

publishes in the Federal Register its 

standard routine uses that apply to all 

of its Privacy Act systems of records. 

These notices appear in the form of a 

Prefatory Statement. These standard 

routine uses apply to the Equal 

Employment Opportunity Records, 

State–09. 

DISCLOSURE TO CONSUMER REPORTING

AGENCIES: 

None. 

POLICIES AND PRACTICES FOR STORING, 

RETRIEVING, ACCESSING, RETAINING, AND

DISPOSING OF RECORDS IN THE SYSTEM: 

STORAGE: 

Hard copy and electronic. 

RETRIEVABILITY: 

By individual name. 

SAFEGUARDS: 

All users are given cyber security 

awareness training which covers the 

procedures for handling Sensitive but 

Unclassified information, including 

personally identifiable information. 

Annual refresher training is mandatory. 

Before being granted access to Equal 

Employment Opportunity Records, a 

user must first be granted access to the 

Department of State computer system. 

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