49692 Federal Register / Vol. 82, No. 206 / Thursday, October 26, 2017 / Notices 

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. 

We have taken action to ensure that 

all of our computer matching programs 

comply with the requirements of the 

Privacy Act, as amended. 

Mary Ann Zimmerman, 

Acting Executive Director, Office of Privacy 

and Disclosure, Office of the General Counsel. 

Participating Agencies: SSA and IRS. 

Authority for Conducting the 

Matching Program: The legal authority 

for Internal Revenue Code (IRC) section 

6103(1)(7) 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 

1860D–14 of the Act requires the 

Commissioner of Social Security to 

determine the eligibility of applicants 

for the prescription drug subsidy who 

self-certify their income, resources, and 

family size. Pursuant to section 1860D– 

14(a)(3) of the Act (42 U.S.C. 1395w– 

114(a)(3)), SSA 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) of the Act. 

Purpose(s): The purpose of this 

matching program is to sets forth the 

terms, conditions, and safeguards under 

which IRS will disclose to us certain 

return information for the purpose of 

verifying eligibility for the Prescription 

Drug Subsidy Program (Subsidy) and or 

determining the correct subsidy 

percentage of benefits provided under 

section 1860D–14 of the Act. (42 U.S.C. 

1395w–114). This matching agreement 

between IRS and us is executed under 

the Privacy Act of 1974, (5 U.S.C. 552a), 

as amended by the Computer Matching 

and Privacy Protection Act of 1988, and 

the regulations and guidance 

promulgated thereunder. 

Categories of Individuals: The 

individuals whose information is 

involved in this matching program are 

beneficiaries who apply for Medicare 

prescription drug subsidy under section 

1860D–14 of the Act. They will self– 

certificate on the application form the 

applicant’s income, resources, and 

family size. We will verify each 

applicant’s self-certification information 

before making a subsidy determination. 

When Medicare beneficiaries apply for 

the subsidy, and we cannot otherwise 

verify the income information provided 

on an application, SSA discloses to IRS 

the applicant’s name and Social 

Security number. 

Categories of Records: When 

beneficiaries apply for the Medicare 

prescription drug subsidy under section 

1860D–14 of the Act, they must selfcertify on the application form the 

applicant’s income, resources, and 

family size. Once each year, we 

electronically transmit the identifying 

information of each current subsidy 

recipient to IRS. 

When there is a match of individual 

identifier, IRS discloses to us: 

a. Payee Account Number, 

b. Payee Name and Mailing Address, 

c. Payee Taxpayer Identification 

Number (TIN), 

d. Payer Name and Address, 

e. Payer TIN, and 

f. Income Type and Amount. 

System(s) of Records: We will provide 

IRS with identifying information with 

respect to applicants for, and recipients 

of, the prescription drug subsidy from 

the existing Medicare Database (MDB 

File) system of records, 60–0321 

published at 71 FR 42159 (July 25, 

2006). Unearned income information 

provided by IRS is maintained in the 

MDB File. IRS extracts return 

information with respect to unearned 

income from the IRMF, Treasury/IRS 

22.061, as published at 77 FR 47946 

(August 10, 2012). 

[FR Doc. 2017–23280 Filed 10–25–17; 8:45 am] 

BILLING CODE 4191–02–P 

SOCIAL SECURITY ADMINISTRATION 

[Docket No. SSA 2017–0022] 

Privacy Act of 1974; Matching Program 

AGENCY: Social Security Administration 

(SSA). 

ACTION: Notice of a new matching 

program. 

SUMMARY: In accordance with the 

provisions of the Privacy Act, as 

amended, this notice announces a new 

computer matching program that we are 

currently conducting with the Office of 

Child Support Enforcement (OCSE). 

DATES: The deadline to submit 

comments on the proposed matching 

program is 30 days from the date of 

publication of this notice. The matching 

program will be effective on 

November 1, 2017, or once a minimum 

of 30 days after publication of this 

notice has elapsed, whichever is later. 

The matching program will expire on 

October 31, 2018. 

ADDRESSES: Interested parties may 

comment on this notice by either 

telefaxing to (410) 966–0869, writing to 

Mary Ann Zimmerman, Acting 

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, or email at 

Mary.Ann.Zimmerman@ssa.gov. All 

comments received will be available for 

public inspection at this address. 

FOR FURTHER INFORMATION CONTACT: 

Interested parties may submit general 

questions about the matching program 

to Mary Ann Zimmerman, Acting 

Executive Director, Office of Privacy 

and Disclosure, Office of the General 

Counsel, by any of the means shown 

above. 

SUPPLEMENTARY INFORMATION: 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; 


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Federal Register / Vol. 82, No. 206 / Thursday, October 26, 2017 / Notices 49693 

(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. 

We have taken action to ensure that 

all of our computer matching programs 

comply with the requirements of the 

Privacy Act, as amended. 

Mary Ann Zimmerman, 

Acting Executive Director, Office of Privacy 

and Disclosure, Office of the General Counsel. 

Participating Agencies: SSA and 

OCSE. 

Authority for Conducting the 

Matching Program: The legal authorities 

for disclosures under this agreement are 

the Social Security Act (Act) and the 

Privacy Act of 1974, as amended. 

Subsection 453(j)(4) of the Act provides 

that OCSE shall provide the 

Commissioner of SSA with all 

information in the NDNH. 42 U.S.C. 

653(j)(4). SSA has authority to use data 

to determine entitlement to and 

eligibility for programs it administers 

pursuant to sections 453(j)(4), 

1631(e)(1)(B) and(f), and 1860D–14(a)(3) 

of the Act. 42 U.S.C. 653(j)(4), 

1383(e)(1)(B) and (f), and 1395w– 

114(a)(3). Disclosures under this 

agreement shall be made in accordance 

with 5 U.S.C. 552a(b)(3), and in 

compliance with the matching 

procedures in 5 U.S.C. 552a(o), (p), and 

(r). 

The Act provides that the 

determination of whether a Part D 

eligible individual residing in a state is 

a subsidy-eligible individual shall be 

determined under the state plan for 

medical assistance under section 

1860D–14(a)(3)(B)(1) of the Act. 42 

U.S.C. 1395w–114(a)(3)(B)(1). 

SSA has independent authority to 

collect this information regarding 

Medicare Parts A–D via sections 202– 

205, 223, 226, 228, 1611, 1631, 1818, 

1836, 1839, 1840, and 1860D–1 to 

1860D–15 of the Act (42 U.S.C. 402– 

405, 423, 426, 428, 1382, 1383, 1395i– 

2, 1395o, 1395r, 1395s, and 1395w–101 

to 1395w–115). 

Purpose(s): This computer matching 

agreement, hereinafter ‘‘agreement,’’ 

governs a matching program between 

the Office of Child Support Enforcement 

(OCSE) and the Social Security 

Administration (SSA). The agreement 

covers information exchange operations 

between OCSE and SSA that will 

provide SSA with quarterly wage and 

unemployment insurance information 

located in the National Directory of New 

Hires (NDNH) to allow SSA to 

determine eligibility of applicants for 

Extra Help (low-income subsidy 

assistance) under the Medicare 

Prescription Drug, Improvement, and 

Modernization Act of 2003 (Pub. L. 108– 

173) (Extra Help). This agreement also 

governs the use, treatment, and 

safeguarding of the information 

exchanged. OCSE is the ‘‘source 

agency’’ and SSA is the ‘‘recipient 

agency,’’ as defined by the Privacy Act. 

5 U.S.C. 552a(a)(9) and (11). 

This agreement assists SSA in (1) 

determining eligibility of applicants for 

Extra Help; (2) redetermining eligibility 

of existing Extra Help beneficiaries 

during periodic screening; and (3) 

administering the Extra Help program. 

The Privacy Act provides that no 

record contained in a system of record 

(SOR) may be disclosed for use in a 

computer matching program except 

pursuant to a written agreement 

containing specified provisions. 5 

U.S.C. 552a(o). SSA and OCSE are 

executing this agreement to comply 

with the Privacy Act of 1974, as 

amended, and the regulations and 

guidance promulgated thereunder. 

OCSE and SSA have been parties to 

matching agreements and 

recertifications for this purpose since 

April 1, 2005. Appendix A provides 

background information about these 

prior agreements. 

The SSA component responsible for 

this agreement and its contents is the 

Office of Privacy and Disclosure. The 

responsible component for OCSE is the 

Division of Federal Systems. 

This agreement is applicable to 

personnel, facilities, and information 

systems of SSA and OCSE involved in 

the processing and storage of NDNH 

information. Personnel are defined as 

employees, contractors, or agents of 

OCSE and SSA. 

This agreement includes a security 

addendum and four appendices. 

Categories of Individuals: The 

individuals whose information is 

involved in this matching program are 

new hires, quarterly wage earners, and 

recipients of unemployment insurance. 

Categories of Records: 

SSA will provide OCSE the following 

data elements electronically in the 

Finder File: 

• COSSN (SSN) 

• Name 

OCSE will provide electronically to 

SSA the following data elements from 

the NDNH quarterly wage file: 

• Quarterly wage record identifier 

• For employees: 

(1) Name (first, middle, last) 

(2) SSN 

(3) Verification request code 

(4) Processed date 

(5) Non-verifiable indicator 

(6) Wage amount 

(7) Reporting period 

• For employers of individuals in the 

quarterly wage file of the NDNH: 

(1) Name 

(2) Employer identification number 

(3) Address(es) 

• Transmitter Agency Code 

• Transmitter State Code 

• State or Agency Name 

OCSE will provide electronically to 

SSA the following data elements from 

the NDNH unemployment insurance 

file: 

• Unemployment insurance record 

identifier 

• Processed date 

• SSN 

• Verification request code 

• Name (first, middle, last) 

• Address 

• Unemployment insurance benefit 

amount 

• Reporting period 

• Transmitter Agency Code 

• Transmitter State Code 

• State or Agency Name 

Data Elements SSA updates in the 

OCSEFITM table, if there is a match: 

• QW record identifier 

• For employees: 

(1) Employee’s SSN 

(2) Employee’s wage amount 

(3) Reporting period 

• For employers of individuals: 

(1) Employer identification number 

(2) Employer’s name 

• UI identifier: 

(1) Claimant SSN 

(2) Unemployment insurance benefit 

amount 

(3) Reporting period 

(4) Transmitter State Name 

System(s) of Records: SSA collects 

and maintains this information in the 

Medicare Database (MDB) system of 

records, No. 60–0321, published at 69 

FR 77816 (December 28, 2004) and 71 

FR 42159–42164 (July 25, 2006). The 

MDB contains information related to 

Medicare Part A, Part B, Medicare 

Advantage Part C, and Medicare Part D. 

OCSE will match SSA information in 

the MDB against the quarterly wage and 

unemployment insurance information 

furnished by state and federal agencies 

maintained in its system of records 


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49694 Federal Register / Vol. 82, No. 206 / Thursday, October 26, 2017 / Notices 

‘‘OCSE National Directory of New 

Hires’’ (NDNH), No. 09–80–0381, 

established by publication in the 

Federal Register on January 5, 2011 at 

76 FR 560. The disclosure of NDNH 

information by OCSE to SSA constitutes 

a ‘‘routine use,’’ as defined by the 

Privacy Act. 5 U.S.C. 552a(b)(3). Routine 

use (#9) of the SOR authorizes 

disclosure of NDNH information to SSA, 

76 FR 560, 562 (January 5, 2011). 

[FR Doc. 2017–23326 Filed 10–25–17; 8:45 am] 

BILLING CODE 4191–02–P 

SOCIAL SECURITY ADMINISTRATION 

[Docket No: SSA–2017–0056] 

Agency Information Collection 

Activities: Proposed 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– 

2017–0056]. 

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 December 26, 2017. 

Individuals can obtain copies of the 

collection instruments by writing to the 

above email address. 

1. Request for Review of Hearing 

Decision/Order—20 CFR 404.967– 

404.981, 416.1467–416.1481—0960– 

0277. Claimants have a statutory right 

under the Social Security Act and 

current regulations to request review of 

an administrative law judge’s (ALJ) 

hearing decision or dismissal of a 

hearing request on Title II and Title XVI 

claims. Claimants may request Appeals 

Council review by filing a written 

request using paper Form HA–520, or 

the Internet application, i520. SSA uses 

the information we collect to establish 

the claimant filed the request for review 

within the prescribed time, and to 

ensure the claimant completed the 

requisite steps permitting the Appeals 

Council review. The Appeals Council 

then uses the information to: (1) 

Document the claimant’s reason(s) for 

disagreeing with the ALJ’s decision or 

dismissal; (2) determine whether the 

claimant has additional evidence to 

submit; and (3) determine whether the 

claimant has a representative or wants 

to appoint one. The respondents are 

claimants requesting review of an ALJ’s 

decision or dismissal of hearing. 

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) 

HA–520—Paper ............................................................................................... 105,000 1 10 17,500 

i520—Internet .................................................................................................. 70,000 1 15 17,500 

Totals ........................................................................................................ 175,000 ........................ ........................ 35,000 

2. You Can Make Your Payment by 

Credit Card—0960–0462. SSA uses the 

information we collect on Form SSA– 

4588, and its electronic application, 

Form SSA–4589, to update individuals’ 

Social Security records to reflect 

payments made on their overpayments. 

In addition, SSA uses this information 

to process payments through the 

appropriate credit card company. SSA 

provides a copy of the SSA–4588 when 

we inform an individual that we 

detected an overpayment. Individuals 

may choose to make a one-time payment 

or recurring monthly payments when 

they complete and submit the SSA– 

4588. When individuals choose to 

telephone the Program Service Centers 

to make a one-time payment in lieu of 

completing Form SSA–4588, an SSA 

debtor contact representative completes 

the SSA–4589 electronic Intranet 

application. Respondents are Old Age 

Survivors and Disability Insurance 

(OASDI) beneficiaries and 

Supplemental Security Income (SSI) 

recipients who have outstanding 

overpayments. 

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–4588 (Paper) ........................................................................................... 16,500 1 10 2,750 

SSA–4589 (Electronic intranet application) ..................................................... 258,500 1 5 21,542 

Totals ........................................................................................................ 275,000 ........................ ........................ 24,292 

3. Request to Show Cause for Failure 

to Appear—20 CFR 404.938, 

404.957(a)(ii), 416.1438—0960–0794. 

When claimants who requested a 

hearing before an ALJ fail to appear at 

their scheduled hearing, the ALJ may 

reschedule the hearing if the claimants 

establish good cause for missing the 

hearings. To establish good cause, 


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