State Supplementation Provisions: Agreements; Payments

ICR 201805-0960-009

OMB: 0960-0240

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2018-10-03
IC Document Collections
IC ID
Document
Title
Status
9161 Unchanged
45281 Unchanged
ICR Details
0960-0240 201805-0960-009
Active 201506-0960-002
SSA
State Supplementation Provisions: Agreements; Payments
Revision of a currently approved collection   No
Regular
Approved without change 12/07/2018
Retrieve Notice of Action (NOA) 10/08/2018
In accordance with 5 CFR 1320, the information collection is approved for three years.
  Inventory as of this Action Requested Previously Approved
12/31/2021 36 Months From Approved 12/31/2018
54 0 54
54 0 54
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 supplementary income payment programs.

US Code: 42 USC 1382g Name of Law: Social Security Act
  
None

Not associated with rulemaking

  83 FR 26732 06/08/2018
83 FR 49965 10/03/2018
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 54 54 0 0 0 0
Annual Time Burden (Hours) 54 54 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$7,000
No
    No
    No
No
No
No
Uncollected
Faye Lipsky 410 965-8783 [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.
10/08/2018


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