Centenarian Project and Medicare Non-Utilzation Project Development Worksheets: Face-to-Face Interview; Telephone Interview

ICR 201512-0960-005

OMB: 0960-0780

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2016-03-18
ICR Details
0960-0780 201512-0960-005
Historical Active 201406-0960-010
SSA
Centenarian Project and Medicare Non-Utilzation Project Development Worksheets: Face-to-Face Interview; Telephone Interview
Revision of a currently approved collection   No
Regular
Approved without change 04/27/2016
Retrieve Notice of Action (NOA) 03/18/2016
  Inventory as of this Action Requested Previously Approved
04/30/2019 36 Months From Approved 06/30/2016
4,640 0 16,000
1,160 0 4,000
0 0 0

SSA conducts interviews with centenary Title II beneficiaries and Title XVI recipients, and Medicare Non-Utilization Project (MNUP) beneficiaries age 90 and older to: (1) Assess if the beneficiaries are still living; (2) prevent fraud through identity misrepresentation; and (3) evaluate the well-being of the recipients. SSA field office personnel obtain the information through one-time, in-person interviews with the centenarians and MNUP beneficiaries. If the centenarians and MNUP beneficiaries have representatives or caregivers, SSA personnel invite them to the interviews. During these interviews, SSA employees make overall observations of the centenarians, MNUP beneficiaries, and their representative payees (if applicable). The interviewer uses the appropriate Development Worksheet as a guide for the interview, in addition to documenting findings during the interview. Non-completion of the Worksheets, or refusal of the interviews, will result in the suspension of the centenarians’ or MNUP beneficiaries’ payments. SSA conducts the interviews either over the telephone or through a face-to-face discussion with the respondents. Respondents are SSI recipients or Social Security beneficiaries 100 years old or older; MNUP beneficiaries; their representative payees; or their caregivers.

US Code: 42 USC 405 Name of Law: The Social Security Act
   US Code: 42 USC 1383 Name of Law: The Social Security Act
  
None

Not associated with rulemaking

  80 FR 81664 12/30/2015
81 FR 10699 03/01/2016
No

2
IC Title Form No. Form Name
Centenarian Project Title XVI Only
Medicare Non-utilization Project (MNUP)

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,640 16,000 0 0 -11,360 0
Annual Time Burden (Hours) 1,160 4,000 0 0 -2,840 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
In 2010, SSA selected Title II beneficiaries and Title XVI recipients ages 103 years and older for the Centenarian Project. In 2012, SSA changed the age range to 100 years and older, and in 2014, we changed the Centenarian Project to Title XVI recipients only. Since we only conduct these interviews once, the population that still requires interviews continues to decrease. Currently, our records show we only need to conduct 240 more Centenarian reviews. We consider these remaining 240 Centenarian reviews rollover cases. These rollovers consist of Title II and Title XVI records where SSA staff has not, yet, made a successful contact confirming life or providing a death report. Upon completion of these rollover cases, we will discontinue the Centenarian Project. We will notify OMB when the remaining 240 Centenarian rollovers are complete, as this will affect the burden information in #12 above. The MNUP will continue as the official Title II replacement for the Centenarian Project. Currently, our records show 4,400 MNUP beneficiaries who require contact. Our yearly selections identify beneficiaries who do not use their Medicare over a period. Medicare usage fluctuates yearly, and this influences our MNUP respondents. Additionally, since we only conduct these interviews once per beneficiary, the population requiring interviews decreases each year.

$185,573
No
No
No
No
No
Uncollected
Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
03/18/2016


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