UNDER SECTION 1137 OF THE SOCIAL
SECURITY ACT, MEDICAID STATE AGENCIES AND OTHER FEDERALLY FUNDED
WELFARE AGENCIES ARE REQUIRED TO REQUEST INCOME AND RESOURCE DATA
FROM CERTAIN FEDERAL AGENCIES, STATE WAGE INFORMATION COLLECTION
AGENCIES, AND STATE UNEMPLOYMENT COMPENSATION AGENCIES THROUGH AN
IEVS. THE PURPOSE OF THE SYSTEM IS TO ENSURE THAT ONLY ELIGIBLE
INDIVIDUALS RECEIVE BENEFITS. OUR REGULATIONS
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.