SF-424 Individual--Revision

This is a request for a revision of a previously approved collection. It is a simplified, alternative government-wide data set and application cover page for use by Federal grant-making agencies that award grants to individuals. The form is being revised with changes to the data field that collects the Social Security Number (SSN). The SSN field is an optional field.

SF-424 Short Organizational--Revision

This is a request for a revision of a previously approved collection. The SF-424 Short organizational form is used by the 26 Federal grant-making agencies as a simplified alternative to the SF-424 standard form. Agencies may use the SF-424 Short Organizational form for grant programs not required to collect all the data that is required on the SF-424 standard form.

SF-424 Project/Performance Site Location(s)

Title: SF-424 Project/Performance Site Location(s)--OMB No. 4040--New--Grants.gov. Proposed Project: The SF-424 Project/Performance Site Location(s) form is a new form based on the Research & Related Project/Performance Site Location(s) form currently in use with the SF-424 (R&R) family (OMB No. 4040-0001). The new form will be used to meet the requirements of the Federal Funding Accountability and Transparency Act (FFATA) (P.L. 109-282). FFATA requires the Office of Management and Budget (OMB) to establish a publicly available, online database containing information about entities that receive Federal grants, loans, and contracts. The new form will assist agencies in collecting a unique recipient entity identification number, a required data element by FFATA.

SF-424 Individual--Revision--OMB No. 4040-0005--

Abstract: This is a request for a revision of a previously approved collection. It is a simplified, alternative government-wide data set and application cover page for use by Federal grant-making agencies that award grants to individuals. The form is being revised with changes to the data field that collects the Social Security Number (SSN). The SSN field is an optional field.

Proposed Project: SF-424 Short Organizational--Revision--OMB No.

Abstract: This is a request for a revision of a previously approved collection. The SF-424 Short organizational form is used by the 26 Federal grant-making agencies as a simplified alternative to the SF-424 standard form. Agencies may use the SF-424 Short Organizational form for grant programs not required to collect all the data that is required on the SF-424 standard form. The form is being revised with changes to the data field that collects the Social Security Number (SSN). The SSN field is an optional field.

Department of Veterans Affairs Eligibility Verification

Abstract: VA uses Eligibility Verification Reports (EVR) forms to verify a claimant's continued entitlement to benefits. Claimants who applied for or received Improved Pension or Parents' Dependency and Indemnity Compensation must promptly notify VA in writing of any changes in entitlement factors. EVRs are required annually by beneficiaries whose social security number (SSN) or whose spouse's SSN is not verified, or who has income other than Social Security. Recipients of Old Law and Section 306 Pension are no longer required to submit annual EVRs unless there is a change in their income.

Railroad Retirement Board - Medicare

Title and purpose of information collection: Medicare; OMB 3220-0082. (Revision) Under Section 7(d) of the Railroad Retirement Act (RRA), the Railroad Retirement Board (RRB) administers the Medicare program for persons covered by the railroad retirement system. The RRB uses Form AA-6, Employee Application for Medicare; Form AA-7, Spouse/Divorced Spouse Application For Medicare; and Form AA-8, Widow/Widower Application for Medicare; to obtain the information needed to determine whether individuals who have not yet filed for benefits under the RRA are qualified for Medicare payments provided under Title XVIII of the Social Security Act. Further, in order for the RRB to determine if a qualified railroad retirement beneficiary who is claiming supplementary medical insurance coverage under Medicare is entitled to a Special Enrollment Period (SEP) and/or premium surcharge relief because of coverage under an Employer Group Health Plan (EGHP), it needs to obtain information regarding the claimant's EGHP coverage, if any. The RRB uses Form RL-311-F, Evidence of Coverage Under An Employer Group Health Plan, to obtain the basic information needed by the RRB to establish EGHP coverage for a qualified railroad retirement beneficiary. Completion of the forms is required to obtain a benefit. One response is requested of each respondent.