RENEWAL OF THE COMPUTER MATCHING AGREEMENT

BETWEEN

THE SOCIAL SECURITY ADMINISTRATION 

AND

THE DEPARTMENT OF LABOR 

FOR

PART C BLACK LUNG BENEFIT DATA

SSA Match #1003 

Under the applicable provisions of the Privacy Act of 1974, amended by the Computer Matching 

and Privacy Protection Act of 1988, 5 U.S.C. § 552a(o)(2), a computer matching agreement 

(CMA) will remain in effect for a period not to exceed 18 months. Within 3 months prior to the

expiration of such CMA, however, the Data Integrity Board (DIB) may, without additional 

review, renew the CMA for a current, ongoing matching program for a period not to exceed

12 additional months if:

1. such program will be conducted without any changes; and 

2. each party to the CMA certifies to the DIB in writing that the program has been

conducted in compliance with the CMA.

A copy of the CMA to be renewed is attached hereto.

The following match meets the conditions for renewal upon signature of the officials authorized 

in sections VII and VIII of this renewal:

I. TITLE OF MATCH

Computer Matching Agreement Match #1003 

II. PARTIES TO THE MATCH

Recipient Agency: Social Security Administration (SSA)

Source Agency: Department of Labor (DOL)

III. PURPOSE OF THE AGREEMENT

This CMA establishes the terms, conditions, and safeguards under which DOL will

disclose the DOL-administered Part C Black Lung (BL) benefit data to SSA. SSA will

match DOL's Part C BL data with SSA’s records of persons receiving Social Security

disability benefits to verify that Part C BL beneficiaries are receiving the correct amount 

of Social Security disability benefits.
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IV. ORIGINAL EFFECTIVE AND EXPIRATION DATES OF THE MATCH

Effective Date: November 25, 2019 

Expiration Date: May 24, 2021 

V. RENEWAL AND NEW EXPIRATION DATES

Renewal Date: May 25, 2021 

New Expiration Date: May 24, 2022 

VI. CHANGES

By this renewal, SSA and DOL make the following non-substantive changes to the CMA:

1. In Article XVI, “Persons to Contact,” delete sections A and B in their entirety and

replace them with the following: 

A. SSA Contacts: 

Matching Programs

Donald Scott

Government Information Specialist 

Office of Privacy and Disclosure

Office of the General Counsel

Social Security Administration

G-401 West High Rise 

6401 Security Boulevard 

Baltimore, MD 21235 

Telephone: (410) 965-8850 

Email: Donald.Scott@ssa.gov

Computer Systems Issues

Angil Escobar, Branch Chief

DECIDE/Data Exchange and Verifications Branch of Office of Enterprise

Information Systems

Office of Systems

6401 Security Boulevard, 3-F-3 Robert M. Ball Building 

Baltimore, MD 21235 

Telephone: (410) 965-7213 

Email: Angil.Escobar@ssa.gov
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Systems Security Issues

Jennifer Rutz, Director

Division of Compliance and Oversight 

Office of Information Security

Office of Systems

Suite 3383 Perimeter East Building

6201 Security Boulevard 

Baltimore, MD 21235 

Telephone: (410) 966-8253 

Email: Jennifer.Rutz@ssa.gov

Project Coordinator 

Stephanie Meilinger 

Office of Data Exchange and International Agreements 

Office of Data Exchange, Policy Publications, and International Negotiations 

4700 Annex Building 

6401 Security Boulevard 

Baltimore, Maryland 21235 

Telephone: (410) 966-0476 

Email: Stephanie.Meilinger@ssa.gov

B. DOL Contacts: 

Matching Programs

Carol Campbell, Branch Chief

Office of Workers’ Compensation Programs 

Division of Coal Mine Workers’ Compensation 

Branch of Policy Analysis & Program Standards 

Room N-3464, 200 Constitution Avenue, NW 

Washington, DC 20210 

Telephone: (202) 343-5933 / Fax: (202) 343-5933 

Email: Campbell.Carol.A@dol.gov

Systems Security Issues

Benjamin Taddeo, Branch Chief

Fiscal Operations & Technical Support 

Federal Black Lung Program 

200 Constitution Avenue, NW 

Room N-3464 

Washington, DC 20210 

Telephone: (202) 343-5922 / Fax: (202) 343-5922 

Email: Taddeo.Benjamin@dol.gov
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Systems Operations

Erica Marcoux, Policy Analyst 

Office of Workers’ Compensation Programs 

Division of Coal Mine Workers’ Compensation 

Branch of Policy Analysis & Program Standards 

200 Constitution Avenue, NW 

Room N-3454 

Washington, DC 20210 

Telephone: (202) 596-0655 / Fax: (202) 693-1395 

Email: Marcoux.Erica@dol.gov
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VII. DEPARTMENT OF LABOR SIGNATURES

Source Agency Certification

As the authorized representative of the source agency named above, I certify that: (1) the 

subject matching program was conducted in compliance with the existing computer 

matching agreement between the parties; and (2) the subject matching program will 

continue without any changes for an additional 12 months, subject to the approval of the 

respective Data Integrity Boards of the parties.

Electronic Signature Acknowledgement: The signatories may sign this document 

electronically by using an approved electronic signature process. Each signatory 

electronically signing this document agrees that his/her electronic signature has the same

legal validity and effect as his/her handwritten signature on the document, and that it has 

the same meaning as his/her handwritten signature. 

Vincent Alvarez, Director

Division of Administrative Operations

Office of Workers’ Compensation Programs 

Date 

Data Integrity Board Certification

As Chair of the Data Integrity Board of the source agency named above, I certify that:

(1) the subject matching program was conducted in compliance with the existing 

computer matching agreement between the parties; and (2) the subject matching program 

will continue without any changes for an additional 12 months. 

Nikki McKinney, Chairperson, Data Integrity Board

Associate Deputy Secretary of Labor 

Date 
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VIII. SOCIAL SECURITY ADMINISTRATION SIGNATURES

Recipient Agency Certification

As the authorized representative of the recipient agency named above, I certify that: (1)

the subject matching program was conducted in compliance with the existing computer 

matching agreement between the parties; and (2) the subject matching program will 

continue without any changes for an additional 12 months, subject to the approval of the

respective Data Integrity Boards of the parties.

Electronic Signature Acknowledgement: The signatories may sign this document 

electronically by using an approved electronic signature process. Each signatory 

electronically signing this document agrees that his/her electronic signature has the same

legal validity and effect as his/her handwritten signature on the document, and that it has 

the same meaning as his/her handwritten signature. 

Mary Ann Zimmerman

Deputy Executive Director 

Office of Privacy and Disclosure

Office of the General Counsel

Date 

Data Integrity Board Certification

As Chair of the Data Integrity Board of the recipient agency named above, I certify that:

(1) the subject matching program was conducted in compliance with the existing 

computer matching agreement between the parties; and (2) the subject matching program 

will continue without any changes for an additional 12 months. 

Matthew D. Ramsey, Chair

Data Integrity Board

Date 

Attachment: Computer Matching Agreement