Federal Register / Vol. 80, No. 66 / Tuesday, April 7, 2015 / Notices 18669 

7See 15 U.S.C. 78s(b)(3)(a)(ii). 

8See 17 CFR 240.19b–4(f)(6). In addition, Rule 

19b–4(f)(6) requires a self-regulatory organization to 

give the Commission written notice of its intent to 

file the proposed rule change at least five business 

days prior to the date of filing of the proposed rule 

change, or such shorter time as designated by the 

Commission. The Exchange has satisfied this 

requirement. 9See 17 CFR 200.30–3(a)(12). 

the protection of investors or the public 

interest; (ii) impose any significant 

burden on competition; and (iii) become 

operative for 30 days from the date on 

which it was filed, or such shorter time 

as the Commission may designate, it has 

become effective pursuant to Section 

19(b)(3)(A)(ii) of the Act 7 and 

subparagraph (f)(6) of Rule 19b–4 

thereunder.8

At any time within 60 days of the 

filing of the proposed rule change, the 

Commission summarily may 

temporarily suspend such rule change if 

it appears to the Commission that such 

action is: (i) Necessary or appropriate in 

the public interest; (ii) for the protection 

of investors; or (iii) otherwise in 

furtherance of the purposes of the Act. 

If the Commission takes such action, the 

Commission shall institute proceedings 

to determine whether the proposed rule 

should be approved or disapproved. 

IV. Solicitation of Comments 

Interested persons are invited to 

submit written data, views, and 

arguments concerning the foregoing, 

including whether the proposed rule 

change is consistent with the Act. 

Comments may be submitted by any of 

the following methods: 

Electronic Comments 

• Use the Commission’s Internet 

comment form (http://www.sec.gov/

rules/sro.shtml); or 

• Send an email to rule-comments@

sec.gov. Please include File Number SR– 

Phlx–2015–30 on the subject line. 

Paper Comments 

• Send paper comments in triplicate 

to Brent J. Fields, Secretary, Securities 

and Exchange Commission, 100 F Street 

NE., Washington, DC 20549–1090. 

All submissions should refer to File 

Number SR–Phlx–2015–30. This file 

number should be included on the 

subject line if email is used. To help the 

Commission process and review your 

comments more efficiently, please use 

only one method. The Commission will 

post all comments on the Commission’s 

Internet Web site (http://www.sec.gov/

rules/sro.shtml). 

Copies of the submission, all 

subsequent amendments, all written 

statements with respect to the proposed 

rule change that are filed with the 

Commission, and all written 

communications relating to the 

proposed rule change between the 

Commission and any person, other than 

those that may be withheld from the 

public in accordance with the 

provisions of 5 U.S.C. 552, will be 

available for Web site viewing and 

printing in the Commission’s Public 

Reference Room, 100 F Street NE., 

Washington, DC 20549, on official 

business days between the hours of 

10:00 a.m. and 3:00 p.m. Copies of the 

filing also will be available for 

inspection and copying at the principal 

office of the Exchange. All comments 

received will be posted without change; 

the Commission does not edit personal 

identifying information from 

submissions. You should submit only 

information that you wish to make 

available publicly. 

All submissions should refer to File 

Number SR–Phlx–2015–30 and should 

be submitted on or before April 28, 

2015. 

For the Commission, by the Division of 

Trading and Markets, pursuant to delegated 

authority.9

Brent J. Fields, 

Secretary. 

[FR Doc. 2015–07882 Filed 4–6–15; 8:45 am] 

BILLING CODE CODE 8011–01–P 

SMALL BUSINESS ADMINISTRATION 

[Disaster Declaration #14241 and #14242] 

Hawaii Disaster Number HI–00035 

AGENCY: U.S. Small Business 

Administration. 

ACTION: Amendment 1. 

SUMMARY: This is an amendment of the 

Presidential declaration of a major 

disaster for Public Assistance Only for 

the State of Hawaii (FEMA–4201–DR), 

dated 03/04/2015. 

Incident: Pu u O o Volcanic Eruption 

and Lava Flow. 

Incident Period: 09/04/2014 through 

03/25/2015. 

Effective Date: 03/25/2015. 

Physical Loan Application Deadline 

Date: 05/04/2015. 

Economic Injury (EIDL) Loan 

Application Deadline Date: 12/04/2015. 

ADDRESSES: Submit completed loan 

applications to: U.S. Small Business 

Administration, Processing and 

Disbursement Center, 14925 Kingsport 

Road, Fort Worth, TX 76155. 

FOR FURTHER INFORMATION CONTACT: A 

Escobar, Office of Disaster Assistance, 

U.S. Small Business Administration, 

409 3rd Street SW., Suite 6050, 

Washington, DC 20416. 

SUPPLEMENTARY INFORMATION: The notice 

of the President’s major disaster 

declaration for Private Non-Profit 

organizations in the State of Hawaii, 

dated 03/04/2015, is hereby amended to 

establish the incident period for this 

disaster as beginning 09/04/2014 and 

continuing through 03/25/2015. All 

other information in the original 

declaration remains unchanged. 

(Catalog of Federal Domestic Assistance 

Numbers 59002 and 59008) 

James E. Rivera, 

Associate Administrator for Disaster 

Assistance. 

[FR Doc. 2015–07890 Filed 4–6–15; 8:45 am] 

BILLING CODE CODE 8025–01–P 

SOCIAL SECURITY ADMINISTRATION 

[Docket No: SSA–2015–0015] 

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, Fax: 202–395– 

6974, Email address: OIRA_

Submission@omb.eop.gov 

(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 www.regulations.gov, 

referencing Docket ID Number [SSA– 

2015–0015]. 

mstockstill on DSK4VPTVN1PROD with NOTICES

18670 Federal Register / Vol. 80, No. 66 / Tuesday, April 7, 2015 / Notices 

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 June 8, 2015. 

Individuals can obtain copies of the 

collection instruments by writing to the 

above email address. 

1. Statement of Claimant or Other 

Person—20 CFR 404.702 & 416.570— 

0960–0045. SSA uses Form SSA–795 in 

special situations where there is no 

authorized form or questionnaire, yet 

we require a signed statement from the 

applicant, claimant, or other persons 

who have knowledge of facts, in 

connection with claims for Social 

Security benefits or Supplemental 

Security Income (SSI). The information 

we request on the SSA–795 is of 

sufficient importance that we need both 

a signed statement and a penalty clause. 

SSA uses this information to process, in 

addition to claims for benefits, issues 

about continuing eligibility; ongoing 

benefit amounts; use of funds by a 

representative payee; fraud 

investigation; and a myriad of other 

program-related matters. The most 

typical respondents are applicants for 

Social Security, SSI, or recipients of 

these programs. However, respondents 

also include friends and relatives of the 

involved parties, coworkers, neighbors, 

or anyone else in a position to provide 

information pertinent to the issue(s). 

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) 

SSA–795 .......................................................................................................... 305,500 1 15 76,375 

2. Statement of Care and 

Responsibility for Beneficiary—20 CFR 

404.2020, 404.2025, 408.620, 408.625, 

416.620, 416.625—0960–0109. SSA uses 

the information from Form SSA–788 to 

verify payee applicants’ statements of 

concern and to identify other potential 

payees. SSA is concerned with selecting 

the most qualified representative payee 

who will use Social Security benefits in 

the beneficiary’s best interest. SSA 

considers factors such as the payee 

applicant’s capacity to perform payee 

duties; awareness of the beneficiary’s 

situation and needs; demonstration of 

past; and current concern for the 

beneficiary’s well-being, etc. If the 

payee applicant does not have custody 

of the beneficiary, SSA will obtain 

information from the custodian for 

evaluation against information provided 

by the applicant. Respondents are 

individuals who have custody of the 

beneficiary in cases where someone else 

has filed to be the beneficiary’s 

representative payee. 

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) 

SSA–788 .......................................................................................................... 130,000 1 10 21,667 

3. Request for Internet Services— 

Authentication; Automated Telephone 

Speech Technology—Knowledge-Based 

Authentication (RISA–KBA)—20 CFR 

401.45—0960–0596. The Request for 

Internet Services and 800# Automated 

Telephone Services Knowledge-Based 

Authentication is one of the 

authentication methods SSA uses to 

allow individuals access to their 

personal information through our 

Internet and Automated Telephone 

Services. SSA asks individuals and 

third parties who seek personal 

information from SSA records, or who 

register to participate in SSA’s online 

business services, to provide certain 

identifying information. As an extra 

measure of protection, SSA asks 

requestors who use the Internet and 

telephone services to provide additional 

identifying information unique to those 

services so SSA can authenticate their 

identities before releasing personal 

information. The respondents are 

current beneficiaries who are requesting 

personal information from SSA, as well 

as individuals and third parties who 

register for SSA’s online business 

services. 

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) 

Internet Requestors ......................................................................................... 10,373,917 1 3 518,695 

Telephone Requestors .................................................................................... 1,703,367 1 4 113,558 

*Change of Address (on hold) ......................................................................... 1 ........................ ........................ 1 

*Screen Splash (on hold) ................................................................................ 1 ........................ ........................ 1 

Totals: ....................................................................................................... 12,077,286 ........................ ........................ 632,255 

* Reducing the burden to a one-hour placeholder burden; Screen Splash and Change of Address applications are on hold. 

4. Social Security Number 

Verification Services—20 CFR 401.45— 

0960–0660. Internal Revenue Service 

regulations require employers to 

provide wage and tax data to SSA using 

Form W–2 or its electronic equivalent. 

As part of this process, the employer 

must furnish the employee’s name and 

Social Security number (SSN). In 

addition, the employee’s name and SSN 

must match SSA’s records for SSA to 

post earnings to the employee’s earnings 

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Federal Register / Vol. 80, No. 66 / Tuesday, April 7, 2015 / Notices 18671 

1The six-state consortium project goes by the 

name Achieving Success by Promoting Readiness 

for Education and Employment (ASPIRE) rather 

than by PROMISE. 

record. SSA offers the Social Security 

Number Verification Service (SSNVS), 

which allows employers to verify the 

reported names and SSNs of their 

employees match those in SSA’s 

records. SSNVS is a cost-free method for 

employers to verify employee 

information either through the Internet 

or via telephone. The respondents are 

employers who need to verify SSN data 

using SSA’s records. 

Type of Request: Revision of an OMBapproved information collection. 

Modality of completion Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Total annual 

burden 

(hours) 

SSNVS ............................................................................................................. 44,975 60 5 224,875 

SSNVS Telephone ........................................................................................... 1,750 2 10 583 

Totals ........................................................................................................ 46,725 ........................ ........................ 225,458 

II. SSA submitted the information 

collection below to OMB for clearance. 

Your comments regarding the 

information collection 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 May 

7, 2015. Individuals can obtain copies of 

the OMB clearance package by writing 

to OR.Reports.Clearance@ssa.gov. 

Promoting Readiness of Minors in SSI 

(PROMISE) Evaluation—0960–0799. 

Background 

The Promoting Readiness of Minors in 

SSI (PROMISE) demonstration pursues 

positive outcomes for children with 

disabilities who receive SSI and their 

families by reducing dependency on 

SSI. The Department of Education (ED) 

awarded six cooperative agreements to 

states to improve the provision and 

coordination of services and support for 

children with disabilities who receive 

SSI and their families to achieve 

improved education and employment 

outcomes. ED awarded PROMISE funds 

to five single-state projects, and to one 

six-state consortium.1 With support 

from ED, the Department of Labor 

(DOL), and the Department of Health 

and Human Services (HHS), SSA is 

evaluating the six PROMISE projects. 

SSA contracted with Mathematica 

Policy Research to conduct the 

evaluation. 

Under PROMISE, targeted outcomes 

for youth include an enhanced sense of 

self-determination; achievement of 

secondary and post-secondary 

educational credentials; an attainment 

of early work experiences culminating 

with competitive employment in an 

integrated setting; and long-term 

reduction in reliance on SSI. Outcomes 

of interest for families include 

heightened expectations for and support 

of the long-term self-sufficiency of their 

youth; parent or guardian attainment of 

education and training credentials; and 

increases in earnings and total income. 

To achieve these outcomes, we expect 

the PROMISE projects to make better 

use of existing resources by improving 

service coordination among multiple 

state and local agencies and programs. 

ED, SSA, DOL, and HHS intend the 

PROMISE projects to address key 

limitations in the existing service 

system for youth with disabilities. By 

intervening early in the lives of these 

young people, at ages 14–16, the 

projects engage the youth and their 

families well before critical decisions 

regarding the age 18 redetermination are 

upon them. We expect the required 

partnerships among the various state 

and Federal agencies that serve youth 

with disabilities to result in improved 

integration of services and fewer 

dropped handoffs as youth move from 

one agency to another. By requiring the 

programs to engage and serve families 

and provide youth with paid work 

experiences, the initiative is mandating 

the adoption of critical best practices in 

promoting the independence of youth 

with disabilities. 

Project Description 

SSA is requesting clearance for the 

collection of data needed to implement 

and evaluate PROMISE. The evaluation 

provides empirical evidence on the 

impact of the intervention for youth and 

their families in several critical areas, 

including: (1) Improved educational 

attainment; (2) increased employment 

skills, experience, and earnings; and (3) 

long-term reduction in use of public 

benefits. We base the PROMISE 

evaluation on a rigorous design that 

entails the random assignment of 

approximately 2,000 youth in each of 

the six projects to treatment or control 

groups (12,000 total). The PROMISE 

projects provide enhanced services for 

youth in the treatment groups; whereas 

youth in the control groups are eligible 

only for those services already available 

in their communities independent of the 

interventions. 

The evaluation assesses the effect of 

PROMISE services on educational 

attainment, employment, earnings, and 

reduced receipt of disability payments. 

The three components of this evaluation 

include: 

• The process analysis, which 

documents program models, assesses 

the relationships among the partner 

organizations, documents whether the 

grantees implemented the programs as 

planned, identifies features of the 

programs that may account for their 

impacts on youth and families, and 

identifies lessons for future programs 

with similar objectives. 

• The impact analysis, which 

determines whether youth and families 

in the treatment groups receive more 

services than their counterparts in the 

control groups. It also determines 

whether treatment group members have 

better results than control group 

members with respect to the targeted 

outcomes noted above. 

• The cost-benefit analysis, which 

assesses whether the benefits of 

PROMISE, including increases in 

employment and reductions in benefit 

receipt, are large enough to justify its 

costs. We conduct this assessment from 

a range of perspectives, including those 

of the participants, state and Federal 

governments, SSA, and society as a 

whole. 

SSA planned several data collection 

efforts for the evaluation. These include: 

(1) Follow-up interviews with youth 

and their parent or guardian 18 months 

and 5 years after enrollment; (2) phone 

and in-person interviews with local 

program administrators, program 

supervisors, and service delivery staff at 

two points in time over the course of the 

demonstration; (3) two rounds of focus 

groups with participating youth in the 

treatment group; (4) two rounds of focus 

groups with parents or guardians of 

participating youth; and (5) collection of 

administrative data. At this time, SSA 

requests clearance for the 18-month 

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18672 Federal Register / Vol. 80, No. 66 / Tuesday, April 7, 2015 / Notices 

survey interviews. SSA will request 

clearance for the 5-year survey 

interviews in a future submission. The 

respondents are the youth participants 

in the PROMISE program, and the 

parents or guardians of the youth 

participants. 

Type of Request: Revision to an OMBapproved information collection. 

Note: This is a correction notice. SSA 

inadvertently published the incorrect burden 

information for this collection at 80 FR 3713, 

on 1/23/15. We are correcting this error here. 

Time Burden on Respondents 

Modality of completion Number of 

responses 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Estimated total 

annual burden 

(hours) 

2014: Interviews and Focus Group Discussions 

Staff Interviews with Administrators or Directors ............................................. 24 1 66 26 

Staff Interviews with PROMISE Project Staff .................................................. 48 1 66 53 

Youth Focus Groups—Non-participants .......................................................... 100 1 5 8 

Youth Focus Groups—Participants ................................................................. 20 1 100 33 

Parents or Guardian Focus Groups—Non-participants ................................... 100 1 5 8 

Parents or Guardian Focus Groups—Participants .......................................... 20 1 100 33 

Totals ........................................................................................................ 312 ........................ ........................ 161 

2015: Interviews and Focus Group Discussions, and 18-Month Survey Interviews 

Staff Interviews with Administrators or Directors ............................................. 51 1 66 56 

Staff Interviews with PROMISE Project Staff .................................................. 97 1 66 107 

Youth Focus Groups—Non-participants .......................................................... 220 1 5 18 

Youth Focus Groups—Participants ................................................................. 60 1 100 100 

Parents or Guardian Focus Groups—Non-participants ................................... 220 1 5 18 

Parents or Guardian Focus Groups—Participants .......................................... 60 1 100 100 

18 Month Survey Interviews—Parent .............................................................. 850 1 41 595 

18 Month Survey Interviews—Youth ............................................................... 850 1 30 425 

Totals ........................................................................................................ 2,408 ........................ ........................ 1,405 

2016: Interviews and Focus Group Discussions and 18 Month Survey Interviews 

Staff Interviews with Administrators or Directors ............................................. 75 1 66 83 

Staff Interviews with PROMISE Project Staff .................................................. 145 1 66 160 

Youth Focus Groups—Non-participants .......................................................... 320 1 5 27 

Youth Focus Groups—Participants ................................................................. 80 1 100 133 

Parents or Guardian Focus Groups—Non-participants ................................... 320 1 5 27 

Parents or Guardian Focus Groups—Participants .......................................... 80 1 100 133 

18 Month Survey Interviews—Parent .............................................................. 5,100 1 41 3,485 

18 Month Survey Interviews—Youth ............................................................... 5,100 1 30 2,550 

Totals ........................................................................................................ 11,220 ........................ ........................ 6,598 

2017: 18 Month Survey Interviews 

18 Month Survey Interviews—Parent .............................................................. 4,250 1 41 2,904 

18 Month Survey Interviews—Youth ............................................................... 4,250 1 30 2,125 

Totals ........................................................................................................ 8,500 ........................ ........................ 5,029 

Grand Total ....................................................................................... 22,440 ........................ ........................ 13,193 

Cost Burden for Respondents 

Respondent type Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Median hourly 

wage rate 

(dollars) 

Total 

respondent 

cost 

(dollars) 

2014: Annual Cost to Respondents: 

Parent or Guardian Focus Group—Non-Participants .......... 100 1 5 $7.38 $61.00 

Parent or Guardian Focus Group—Participants .................. 20 1 100 7.38 246.00 

Total .............................................................................. 120 ........................ ........................ ........................ 307.00 

2015: Annual Cost to Respondents: 

Parent or Guardian Focus Group—Non-Participants .......... 220 1 5 7.38 135.00 

mstockstill on DSK4VPTVN1PROD with NOTICES

Federal Register / Vol. 80, No. 66 / Tuesday, April 7, 2015 / Notices 18673 

Respondent type Number of 

respondents 

Frequency of 

response 

Average 

burden per 

response 

(minutes) 

Median hourly 

wage rate 

(dollars) 

Total 

respondent 

cost 

(dollars) 

Parent or Guardian Focus Group—Participants .................. 60 1 100 7.38 738.00 

Total .............................................................................. 280 ........................ ........................ ........................ 873.00 

2016: Annual Cost to Respondents: 

Parent or Guardian Focus Group—Non-Participants .......... 320 1 5 7.38 196.00 

Parent or Guardian Focus Group—Participants .................. 80 1 100 7.38 984.00 

Total .............................................................................. 400 ........................ ........................ ........................ 1,180.00 

Grand Total: .................................................................. 800 ........................ ........................ ........................ 2,360.00 

Date: April 2, 2015. 

Faye I. Lipsky, 

Reports Clearance Officer, Social Security 

Administration. 

[FR Doc. 2015–07881 Filed 4–6–15; 8:45 am] 

BILLING CODE CODE 4191–02–P 

SOCIAL SECURITY ADMINISTRATION 

[Docket No. SSA 2015–0004] 

Privacy Act of 1974, as Amended; 

Computer Matching Program (SSA/

Department of the Treasury, Internal 

Revenue Service (IRS))—Match 

Number 1305 

AGENCY: Social Security Administration 

(SSA). 

ACTION: Notice of a renewal of an 

existing computer matching program 

that will expire on May 10, 2015. 

SUMMARY: In accordance with the 

provisions of the Privacy Act, as 

amended, this notice announces a 

renewal of an existing computer 

matching program that we are currently 

conducting with IRS. 

DATES: We will file a report of the 

subject matching program with the 

Committee on Homeland Security and 

Governmental Affairs of the Senate; the 

Committee on Oversight and 

Government Reform of the House of 

Representatives; and the Office of 

Information and Regulatory Affairs, 

Office of Management and Budget 

(OMB). The matching program will be 

effective as indicated below. 

ADDRESSES: Interested parties may 

comment on this notice by either 

telefaxing to (410) 966–0869 or writing 

to the Executive Director, Office of 

Privacy and Disclosure, Office of the 

General Counsel, Social Security 

Administration, 617 Altmeyer Building, 

6401 Security Boulevard, Baltimore, MD 

21235–6401. All comments received 

will be available for public inspection at 

this address. 

FOR FURTHER INFORMATION CONTACT: The 

Executive Director, Office of Privacy 

and Disclosure, Office of the General 

Counsel, as shown above. 

SUPPLEMENTARY INFORMATION: 

A. General 

The Computer Matching and Privacy 

Protection Act of 1988 (Public Law 

(Pub. L.) 100–503), amended the Privacy 

Act (5 U.S.C. 552a) by describing the 

conditions under which computer 

matching involving the Federal 

government could be performed and 

adding certain protections for persons 

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 persons. 

The Privacy Act, as amended, 

regulates the use of computer matching 

by Federal agencies when records in a 

system of records 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 agency or agencies 

participating in the matching programs; 

(2) Obtain approval of the matching 

agreement by the Data Integrity Boards 

of the participating Federal agencies; 

(3) Publish notice of the computer 

matching program in the Federal 

Register; 

(4) Furnish detailed reports about 

matching programs to Congress and 

OMB; 

(5) Notify applicants and beneficiaries 

that their records are subject to 

matching; and 

(6) Verify match findings before 

reducing, suspending, terminating, or 

denying a person’s benefits or 

payments. 

B. SSA Computer Matches Subject to 

the Privacy Act 

We have taken action to ensure that 

all of our computer matching programs 

comply with the requirements of the 

Privacy Act, as amended. 

Kirsten J. Moncada, 

Executive Director, Office of Privacy and 

Disclosure, Office of the General Counsel. 

Notice of Computer Matching Program, 

SSA With the Department of the 

Treasury, Internal Revenue Service 

(IRS) 

A. Participating Agencies 

SSA and IRS 

B. Purpose of the Matching Program 

The purpose of this matching program 

is to set forth the terms, conditions, and 

safeguards under which IRS will 

disclose to us certain information for the 

purpose of verifying eligibility or the 

correct subsidy percentage of benefits 

provided under section 1860D–14 of the 

Social Security Act. (42 U.S.C. 1395w– 

114). 

C. Authority for Conducting the 

Matching Program 

The legal authority for this agreement 

is Internal Revenue Code section 

6103(1)(7), which authorizes IRS to 

disclose return information with respect 

to unearned income to Federal, state, 

and local agencies administering certain 

benefit programs under the Act. Section 

1860–D–14 of the Act requires our 

Commissioner to determine the 

eligibility of applicants for the 

prescription drug subsidy who selfcertify their income, resources, and 

family size. Pursuant to section 1860D– 

14(a)(3) of the Act, we must determine 

whether a Social Security Part D eligible 

individual is a subsidy-eligible 

individual, and whether the individual 

is an individual as described in section 

1860D–14(a). This agreement is 

executed in compliance with the 

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