Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event

ICR 202010-0960-002

OMB: 0960-0784

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2020-10-02
Supplementary Document
2020-10-01
ICR Details
0960-0784 202010-0960-002
Received in OIRA 201811-0960-011
SSA
Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event
Revision of a currently approved collection   No
Regular 10/02/2020
  Requested Previously Approved
36 Months From Approved 01/31/2021
255,485 200,540
146,904 115,311
0 0

Per the Medicare Modernization Act of 2003, selected Medicare insurance recipients pay an income-related monthly adjustment amount (IRMAA). The Internal Revenue Service (IRS) transmits income tax return data to SSA for SSA to determine the amount of IRMAA. SSA uses Form SSA-44 to determine if a recipient qualifies for a reduction in IRMMA. If affected Medicare recipients believe SSA should use more recent tax data because a life-changing event occurred that significantly reduces their income, they can report these changes to SSA and ask for a new initial determination of their IRMAA.

US Code: 42 USC 1395w-104 Name of Law: The Social Security Act
   PL: Pub.L. 111 - 148 3308 Name of Law: The Patient Protection and Affordable Care Act
   US Code: 42 USC 1395r Name of Law: The Social Security Act
  
PL: Pub.L. 111 - 148 3308 Name of Law: The Patient Protection and Affordable Care Act

Not associated with rulemaking

  85 FR 45723 07/29/2020
85 FR 60509 09/25/2020
No

  Total Request 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 255,485 200,540 0 0 54,945 0
Annual Time Burden (Hours) 146,904 115,311 0 0 31,593 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
When we last cleared this IC in 2017, the burden was 115,311 hours. However, we are currently reporting a burden of 146,904 hours. This change stems a increase in the number of responses from 200,540 to 255,485. There is no change to the burden time per response. Although the number of responses changed, SSA did not take any actions to cause this change. These figures represent current Management Information data.

$244,079,109
No
    Yes
    Yes
Yes
No
No
No
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.
10/02/2020


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