### 4473 Federal Register / Vol. 79, No. 18 / Tuesday, January 28, 2014 / Notices

(12 U.S.C. 1843). Unless otherwise noted, nonbanking activities will be conducted throughout the United States.

Unless otherwise noted, comments regarding each of these applications must be received at the Reserve Bank indicated or the offices of the Board of Governors not later than February 21,
2014.

A. Federal Reserve Bank of Dallas (E. Ann Worthy, Vice President) 2200 North Pearl Street, Dallas, Texas 75201–
2272:

1. SSB Bancshares, Inc., Anahuac, Texas; to become a bank holding company by acquiring 100 percent of the voting shares of Security State Bank, Anahuac, Texas.

Board of Governors of the Federal Reserve System, January 23, 2014. Michael J. Lewandowski, Associate Secretary of the Board.
[FR Doc. 2014–01549 Filed 1–27–14; 8:45 am]

**BILLING CODE 6210–01–P**

**DEPARTMENT OF HEALTH AND HUMAN SERVICES** 

**Centers for Medicare & Medicaid Services** 

**Privacy Act of 1974, CMS Computer Match No. 2013–03, HHS Computer**  **Match No. 1314, SSA Computer Match No. 1048, IRS Project No. 241** 

**AGENCY :**  Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS).

**ACTION :**  Notice of Computer Matching Program (CMP).

**SUMMARY :**  In accordance with the requirements of the Privacy Act of 1974, as amended, this notice announces the establishment of a Computer Matching Program that CMS plans to conduct with the Social Security Administration (SSA) and the Internal Revenue Service (IRS), a Bureau of the Department of Treasury.

**EFFECTIVE DATES :**  Comments are invited on all portions of this notice. Public comments are due 30 days after publication. The matching program will become effective no sooner than 40 days after the report of the matching program is sent to the Office of Management and Budget (OMB) and Congress, or 30 days after publication in the Federal Register, whichever is later.

**ADDRESSES :**  The public should send comments to: CMS Privacy Officer, Division of Privacy Policy, Privacy Policy and Compliance Group, Office of E-Health Standards & Services, Offices of Enterprise Management, CMS, Room S2–24–25, 7500 Security Boulevard, Baltimore, Maryland 21244–1850. Comments received will be available for review at this location, by appointment, during regular business hours, Monday through Friday from 9:00 a.m.–3:00 p.m., Eastern Time zone.

**FOR FURTHER INFORMATION CONTACT :**  Richard Mazur, Technical Advisor, Office of Financial Management, Financial Services Group, Division of Medicare Secondary Payer Program Operations, CMS, Mail Stop C3–14–16, 7500 Security Boulevard, Baltimore, Maryland 21244–1850, Office Phone: (410) 786–1418, Facsimile: (410) 786– 7030, E-Mail: Richard.Mazur2@ cms.hhs.gov.

**SUPPLEMENTARY INFORMATION :**  The Computer Matching and Privacy Protection Act of 1988 (Pub. L. 100– 503), amended the Privacy Act (5 U.S.C. 552a) by describing the manner in which computer matching involving Federal agencies could be performed and adding certain protections for individuals applying for and receiving Federal benefits. Section 7201 of the Omnibus Budget Reconciliation Act of 1990 (Pub. L. 101–508) further amended the Privacy Act regarding protections for such individuals. The Privacy Act, as amended, regulates the use of computer matching by Federal agencies when records in a system of records (SOR) are matched with other Federal, state, or local government records. It requires Federal agencies involved in computer matching programs to:

1. Negotiate written agreements with the other agencies participating in the matching programs;

2. Obtain the Data Integrity Board approval of the match agreements;

3. Furnish detailed reports about matching programs to Congress and OMB;

4. Notify applicants and beneficiaries that the records are subject to matching; and,

5. Verify match findings before reducing, suspending, terminating, or denying an individual’s benefits or payments. This matching program meets the requirements of the Privacy Act of 1974, as amended. Dated: January 17, 2014. Timothy Love, Chief Operating Officer, Centers for Medicare & Medicaid Services. CMS Computer Match No. 2013–03 HHS Computer Match No. 1314 SSA Computer Match No. 1048 IRS Project No. 241

NAME

‘‘Computer Matching Agreement between the Department of the Treasury, Internal Revenue Services, and the Social Security Administration and the Department of Health and Human Services, Centers for Medicare & Medicaid Services for the Medicare Secondary Payer Program’’

SECURITY CLASSIFICATION

Unclassified

PARTICIPATING AGENCIES

Department of Treasury, Internal Revenue Service (IRS); Social Security Administration (SSA); and the Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS).

AUTHORITY FOR CONDUCTING MATCHING PROGRAM

Section 6103(l)(12) of the Internal Revenue Code (IRC) (26 U.S.C. 6103(1)(12)), and section 1862(b)(5) of the Social Security Act (42 U.S.C. 1395y(b)(5)) implements the information matching provisions of the matching program.

Section 1106 of the Social Security Act (42 U.S.C. 1306) permits the disclosure of SSA data under this matching program.
PURPOSE(S) OF THE MATCHING PROGRAM

The purpose of this matching program is to establish the conditions under which: (1) IRS agrees to disclose return information relating to taxpayer identity to SSA, and (2) SSA agrees to disclose return information relating to beneficiary and employer identity, commingled with information disclosed by the IRS, to CMS.

These disclosures will provide CMS with information to determine the extent to which any Medicare beneficiary is covered under any Group Health Plan (GHP).

DESCRIPTION OF RECORDS TO BE USED IN THE MATCHING PROGRAM

The matching program will be conducted with data maintained by CMS in the following SORs:

• Medicare Advantage Prescription Drug (MARx) System, CMS System No.


### 4474 Federal Register / Vol. 79, No. 18 / Tuesday, January 28, 2014 / Notices

09–70–0588, published at 76 FR 47190 (August 4, 2011);

• Medicare Multi-Carrier Claims System (MCS), CMS System No. 09–70– 0501, published at 71 FR 64968 (November 6, 2006);

• Fiscal Intermediary Shared System (FISS), CMS System No. 09–70–0503, published at 71 FR 64961 (November 6, 2006);

• Common Working File (CWF), CMS System No. 09–70–0526, published at 71 FR 64955 (November 6, 2006);

• National Claims History (NCH), CMS System No. 09–70–0558, published at 71 FR 67137 (November 20, 2006).

The matching program will also be conducted with data maintained by IRS in CADE (Customer Account Data Engine) Individual Master File (IMF), Treasury/IRS 24.030, published at 77 FR 47946–947 (August 10, 2012); and SSA in Master Beneficiary Record (MBR), SSA/ORSIS 60–0090, published at 71 FR 1826 (January 11, 2006) and Earnings Recording and Self-Employment Income System, SSA 60–0059, referred to as the Master Earnings File (MEF), published at 71 FR 1819 (January 11, 2006).

INCLUSIVE DATES OF THE MATCH

This Computer Matching Program will become effective no sooner than 40 days after the report of the matching program is sent to OMB and Congress, or 30 days after publication in the Federal Register, whichever is later. The matching program will continue for 18 months from the effective date and may be extended for an additional 12 months thereafter, if certain conditions
are met.

[FR Doc. 2014–01566 Filed 1–27–14; 8:45 am]

**BILLING CODE 4120–03–P**

**DEPARTMENT OF HEALTH AND HUMAN SERVICES** 

**Administration for Children and Families** 

**Proposed Information Collection Activity; Comment Request** 

Proposed Projects: Title: Community Services Block Grant(CSBG)Program Model Plan Application.

OMB No.: 0970–0382. Description: Sections 676 and 677 of the Community Services Block Grant Act require States, including the District of Columbia and the Commonwealth of Puerto Rico, Tribes, Tribal organizations and U.S. territories applying for Community Services Block Grant (CSBG) funds to submit an application and plan (Model Application Plan). The application plan must meet statutory requirements prior to being funded with CSBG funds. Applicants have the option to submit a detailed application annually or biannually. Entities that submit a biannual application must provide an abbreviated application the following year if substantial changes to the initial application will occur. OMB renewal is being sought.

Respondents: State Governments, including the District of Columbia and the Commonwealth of Puerto Rico, Tribal Governments, Tribal Organizations, and U.S. territories.



### ANNUAL BURDEN ESTIMATES

Instrument Number of respondents Number of responses per

respondent Average burden hours per response Total burden hours

Model State CSBG Application ....................................................................... 56 1 10 560 Model Indian Tribes & Tribal Organizations CSBG Application ...................... 30 1 10 300

Estimated Total Annual Burden Hours: 860.

In compliance with the requirements of Section 506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Administration for Children and Families is soliciting public comment on the specific aspects of the information collection described above. Copies of the proposed collection of information can be obtained and comments may be forwarded by writing to the Administration for Children and Families, Office of Planning, Research and Evaluation, 370 L’Enfant Promenade SW., Washington, DC 20447, Attn: ACF Reports Clearance Officer. Email address: infocollection@ acf.hhs.gov. All requests should be identified by the title of the information collection.

The Department specifically requests comments on: (a) Whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information shall have practical utility; (b) the accuracy of the agency’s estimate of the burden of the proposed collection of information; (c) the quality, utility, and clarity of the information to be collected; and (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology. Consideration will be given to comments and suggestions submitted within 60 days of this publication.

Robert Sargis, Reports Clearance Officer.
[FR Doc. 2014–01570 Filed 1–27–14; 8:45 am]

**BILLING CODE 4184–01–P**

**DEPARTMENT OF HEALTH AND HUMAN SERVICES** 

**Health Resources and Services Administration** 

**Agency Information Collection Activities: Submission to OMB for**  **Review and Approval; Public Comment Request** 

**AGENCY :**  Health Resources and Services Administration, HHS. **ACTION :**  Notice.

**SUMMARY :**  In compliance with Section 3507(a)(1)(D) of the Paperwork Reduction Act of 1995, the Health Resources and Services Administration (HRSA) has submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public during the review and approval period.

**DATES :**  Comments on this ICR should be received within 30 days of this notice.

**ADDRESSES :**  Submit your comments, including the Information Collection Request Title, to the desk officer for HRSA, either by email to OIRA

_ submission@omb.eop.gov or by fax to
202–395–5806.

**FOR FURTHER INFORMATION CONTACT :**  To request a copy of the clearance requests submitted to OMB for review, email the HRSA Information Collection Clearance Officer at paperwork@hrsa.gov or call (301) 443–1984.