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

(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. 


ehiers on DSK2VPTVN1PROD with NOTICES
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. 


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