441—57.2 (249) Requirements for reimbursement. In order to receive reimbursement for interim assistance payments, a county agency must meet the following requirements.
	 57.2(1) Agreement. The county agency shall enter into a written agreement with the department of human services on Form 470-1948, Interim Assistance Reimbursement Agreement.
	 57.2(2) Authorization. The county agency shall secure written authorization from the person seeking interim assistance. By signing Form 470-1950, Authorization for Reimbursement of Interim Assistance, the person:
	  a.   	 Indicates the intent to apply for SSI benefits.
	  b.   	 Authorizes the Social Security Administration to:
	 (1) 	 Withhold the amount of interim assistance from the person’s initial payment or initial posteligibility payment, and
	 (2) 	 Make this amount payable to the county agency.
	 57.2(3) Records. The county agency shall:
	  a.   	 Maintain a file for each person who has received interim assistance.
	  b.   	 Maintain adequate records of all transactions made relating to interim assistance.
	  c.   	 Comply with the provisions of the Federal Information Security Management Act (FISMA); 20 CFR Part 401 as amended to April 1, 2009; and the Privacy Act of 1974 relating to the safeguarding of information concerning individuals who have applied for interim assistance.
[ARC 8990B, IAB 8/11/10, effective 9/15/10; ARC 9174B, IAB 11/3/10, effective 12/8/10]