State Supplementation Provisions: Agreements; Payments

ICR 200908-0960-002

OMB: 0960-0240

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2009-10-27
IC Document Collections
IC ID
Document
Title
Status
9161
Modified
45281
Modified
ICR Details
0960-0240 200908-0960-002
Historical Active 200609-0960-027
SSA
State Supplementation Provisions: Agreements; Payments
Extension without change of a currently approved collection   No
Regular
Approved without change 01/29/2010
Retrieve Notice of Action (NOA) 10/29/2009
  Inventory as of this Action Requested Previously Approved
01/31/2013 36 Months From Approved 01/31/2010
51 0 51
51 0 51
0 0 0

Section 1618 of the Social Security Act contains pass-along provisions of the Social Security amendments. These provisions require States that supplement the Federal Supplemental Security Income (SSI) payments to pass along Federal cost-of-living increases to individuals who are eligible for State supplemental payments. If a State fails to keep payments at the required level, it becomes ineligible for Medicaid reimbursement under Title XIX of the Social Security Act. SSA uses the information to determine a state's eligibility for Medicaid reimbursement. Respondents are State agencies administering supplemental programs.

US Code: 42 USC 1382g Name of Law: null
  
None

Not associated with rulemaking

  74 FR 41959 08/19/2009
74 FR 55080 10/26/2009
No

2
IC Title Form No. Form Name
Total Expenditures
Maintenance of Payment Levels

  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 51 51 0 0 0 0
Annual Time Burden (Hours) 51 51 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$7,000
No
No
Uncollected
Uncollected
No
Uncollected
Elizabeth Davidson 411-965-0454 [email protected]

  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.
10/29/2009


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