Proposed Collection; Comment Request, 63652-63654 [2014-25312]
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asabaliauskas on DSK5VPTVN1PROD with NOTICES
63652
Federal Register / Vol. 79, No. 206 / Friday, October 24, 2014 / Notices
days before the meeting, if possible, so
that appropriate arrangements can be
made to allow necessary time during the
meeting for such statements. In view of
the possibility that the schedule for
ACRS meetings may be adjusted by the
Chairman as necessary to facilitate the
conduct of the meeting, persons
planning to attend should check with
the Cognizant ACRS staff if such
rescheduling would result in major
inconvenience.
Thirty-five hard copies of each
presentation or handout should be
provided 30 minutes before the meeting.
In addition, one electronic copy of each
presentation should be emailed to the
Cognizant ACRS Staff one day before
meeting. If an electronic copy cannot be
provided within this timeframe,
presenters should provide the Cognizant
ACRS Staff with a CD containing each
presentation at least 30 minutes before
the meeting.
In accordance with Subsection 10(d)
of Public Law 92–463 and 5 U.S.C.
552b(c), certain portions of this meeting
may be closed, as specifically noted
above. Use of still, motion picture, and
television cameras during the meeting
may be limited to selected portions of
the meeting as determined by the
Chairman. Electronic recordings will be
permitted only during the open portions
of the meeting.
ACRS meeting agenda, meeting
transcripts, and letter reports are
available through the NRC Public
Document Room at pdr.resource@
nrc.gov, or by calling the PDR at 1–800–
397–4209, or from the Publicly
Available Records System (PARS)
component of NRC’s document system
(ADAMS) which is accessible from the
NRC Web site at https://www.nrc.gov/
reading-rm/adams.html or https://
www.nrc.gov/reading-rm/doccollections/ACRS/.
Video teleconferencing service is
available for observing open sessions of
ACRS meetings. Those wishing to use
this service should contact Mr. Theron
Brown, ACRS Audio Visual Technician
(301–415–8066), between 7:30 a.m. and
3:45 p.m. (ET), at least 10 days before
the meeting to ensure the availability of
this service. Individuals or
organizations requesting this service
will be responsible for telephone line
charges and for providing the
equipment and facilities that they use to
establish the video teleconferencing
link. The availability of video
VerDate Sep<11>2014
20:00 Oct 23, 2014
Jkt 235001
teleconferencing services is not
guaranteed.
Dated: October 20, 2014.
Andrew L. Bates,
Advisory Committee Management Officer.
[FR Doc. 2014–25343 Filed 10–23–14; 8:45 am]
BILLING CODE 7590–01–P
RAILROAD RETIREMENT BOARD
Proposed Collection; Comment
Request
Summary: In accordance with the
requirement of Section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995
which provides opportunity for public
comment on new or revised data
collections, the Railroad Retirement
Board (RRB) will publish periodic
summaries of proposed data collections.
Comments are invited on: (a) Whether
the proposed information collection is
necessary for the proper performance of
the functions of the agency, including
whether the information has practical
utility; (b) the accuracy of the RRB’s
estimate of the burden of the collection
of the information; (c) ways to enhance
the quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden related to
the collection of information on
respondents, including the use of
automated collection techniques or
other forms of information technology.
1. Title and purpose of information
collection: Railroad Service and
Compensation Reports/System Access
Application; OMB 3220–0008.
Under Section 9 of the Railroad
Retirement Act (RRA) and Section 6 of
the Railroad Unemployment Insurance
Act (RUIA) the Railroad Retirement
Board (RRB) maintains for each railroad
employee, a record of compensation
paid to that employee by all railroad
employers for whom the employee
worked after 1936. This record, which is
used by the RRB to determine eligibility
for, and amount of, benefits due under
the laws it administers, is conclusive as
to the amount of compensation paid to
an employee during such period(s)
covered by the report(s) of the
compensation by the employee’s
railroad employer(s), except in cases
when an employee files a protest
pertaining to his or her reported
compensation within the statute of
limitations cited in Section 9 of the RRA
and Section 6 of the RUIA.
PO 00000
Frm 00056
Fmt 4703
Sfmt 4703
To enable the RRB to establish and
maintain the record of compensation,
employers are required to file with the
RRB, reports of their employees’
compensation, in such manner and form
and at such times as the RRB prescribes.
Railroad employers’ reports and
responsibilities are prescribed in 20 CFR
209. The RRB currently utilizes Form
BA–3, Annual Report of Creditable
Compensation, and Form BA–4, Report
of Creditable Compensation
Adjustments, to secure the required
information from railroad employers.
Form BA–3 provides the RRB with
information regarding annual creditable
service and compensation for each
individual who worked for a railroad
employer covered by the RRA and RUIA
in a given year. Form BA–4 provides for
the adjustment of any previously
submitted reports and also the
opportunity to provide any service and
compensation that had been previously
omitted. Requirements specific to Forms
BA–3 and BA–4 are prescribed in 20
CFR 209.8 and 209.9.
Employers currently have the option
of submitting BA–3 and BA–4 reports
electronically by CD–ROM, File
Transfer Protocol (FTP), secure Email,
or online via the RRB’s Employer
Reporting System (ERS).
The information collection also
includes RRB Form BA–12, Application
for Employer Reporting Internet Access,
and Form G–440, Report Specifications
Sheet. Form BA–12 is completed by
railroad employers to obtain system
access to ERS. Once access is obtained,
authorized employees may submit
reporting forms online to the RRB. The
form determines what degree of access
(view/only, data entry/modification or
approval/submission) is appropriate for
that employee. It is also used to
terminate an employee’s access to ERS.
Form G–440, Report Specifications
Sheet, serves as a certification document
for various RRB employer reporting
forms (Forms BA–3, BA–4, Form BA–6a,
BA–6, Address Report (OMB 3220–
0005), BA–9, Report of Separation
Allowance or Severance Pay (OMB
3220–0173) and BA–11, Report of Gross
Earnings (OMB 3220–0132)). It records
the type of medium the report was
submitted on, and serves as a summary
recapitulation sheet for reports filed on
paper. The RRB proposes minor nonburden impacting changes to Form BA–
12 and G–440.
E:\FR\FM\24OCN1.SGM
24OCN1
63653
Federal Register / Vol. 79, No. 206 / Friday, October 24, 2014 / Notices
ESTIMATE OF ANNUAL RESPONDENT BURDEN
Reporting
Time
(minutes)
Responses
BA–3:
Paper ..................................................................................................
Electronic Media .................................................................................
BA–3 (Internet) ...................................................................................
Burden
(hours)
24
96
593
116.85 (7,011 min) ..........................
46.25 (2,775 min) ............................
46.25 (2,775 min) ............................
2,804
4,440
27,426
713
..........................................................
34,670
160
285
3,852
1.25 (75 min) ...................................
1.00 (60 min) ...................................
.33 (20 min) .....................................
200
285
1,284
Total BA–4 ...................................................................................
BA–12:
Initial Access .......................................................................................
Access Termination ............................................................................
4,297
..........................................................
1,769
295
38
.33 (20 min) .....................................
.166 (10 min) ...................................
98
6
Total BA–12 .................................................................................
G–440 (Certification):
Form BA–3 (zero employees) ............................................................
Form BA–11 (zero employees) ..........................................................
Paper forms (without recap) ...............................................................
Electronic transactions .......................................................................
BA–3 and BA–4 (with recap) ..............................................................
333
..........................................................
105
19
60
7
94
125
.25 (15 min) .....................................
.25 (15 min) .....................................
.25 (15 min) .....................................
.50 (30 min) .....................................
1.25 (75 min) ...................................
5
15
2
47
156
Total G–440 ........................................................................................
305
..........................................................
224
Grand Total .................................................................................
5,648
..........................................................
36,768
Total BA–3 ...................................................................................
BA–4:
Paper ..................................................................................................
Electronic Media .................................................................................
BA–4 (Internet) ...................................................................................
2. Title and purpose of information
collection: Medical Reports; OMB 3220–
0038.
Under sections 2(a)(1)(iv) and
2(a)(1)(v) of the Railroad Retirement Act
(RRA), annuities are payable to qualified
railroad employees whose physical or
mental condition makes them unable to
(1) work in their regular occupation
(occupational disability) or (2) work at
all (permanent total disability). The
requirements for establishing disability
and proof of continuing disability under
the RRA are prescribed in 20 CFR 220.
Under Sections 2(c)(1)(ii)(C) and
2(d)(1)(ii) of the RRA, annuities are also
payable to qualified spouses and
widow(ers), respectively, who have a
qualifying child who became disabled
before age 22. Annuities are also
payable to surviving children on the
basis of disability under section
2(d)(1)(iii)(C) if the child’s disability
began before age 22 as well as to
widow(er)s on the basis of disability
under section 2(d)(1)(i)(B). To meet the
disability standard, the RRA provides
that individuals must have a permanent
physical or mental condition that makes
them unable to engage in any regular
employment.
Under section 2(d)(1)(v) of the RRA,
annuities are also payable to remarried
widow(er)s and surviving divorced
spouses on the basis of, among other
things, disability or having a qualifying
disabled child in care. However, the
disability standard in these cases is that
found in the Social Security Act. That
is, individuals must be unable to engage
in any substantial gainful activity by
reason of any medically determinable
physical or mental impairment. The
RRB also determines entitlement to a
Period of Disability and entitlement to
early Medicare based on disability for
qualified claimants in accordance with
Section 216 of the Social Security Act.
When making disability
determinations, the RRB needs evidence
from acceptable medical sources. The
RRB currently utilizes Forms G–3EMP,
Report of Medical Condition by
Employer; G–197, Authorization to
Release Medical Information to the
Railroad Retirement Board; G–250,
Medical Assessment; G–250A, Medical
Assessment of Residual Functional
Capacity; G–260, Report of Seizure
Disorder; RL–11B, Disclosure of
Hospital Medical Records; RL–11D,
Disclosure of Medical Records from a
State Agency; and RL–250, Request for
Medical Assessment, to obtain the
necessary medical evidence. One
response is requested of each
respondent. Completion is voluntary.
The RRB proposes to add a fraud
statement; request a doctor’s National
Provider Number; and make other minor
non-burden impacting editorial and
cosmetic changes to Forms G–250,
G–250A, and G–260. The RRB also
proposes to revise Form G–197 to
include authorization to disclose
educational records from various
sources, as well as make other minor
non-burden impacting editorial changes.
asabaliauskas on DSK5VPTVN1PROD with NOTICES
ESTIMATE OF ANNUAL RESPONDENT BURDEN
Annual
responses
Form No.
G–3EMP ......................................................................................................................................
G–197 ..........................................................................................................................................
G–250 ..........................................................................................................................................
G–250A ........................................................................................................................................
G–260 ..........................................................................................................................................
RL–11B ........................................................................................................................................
VerDate Sep<11>2014
20:00 Oct 23, 2014
Jkt 235001
PO 00000
Frm 00057
Fmt 4703
Sfmt 4703
600
6,000
11,950
50
100
5,000
E:\FR\FM\24OCN1.SGM
24OCN1
Time
(minutes)
Burden
(hours)
10
10
30
20
25
10
100
1,000
5,975
17
42
833
63654
Federal Register / Vol. 79, No. 206 / Friday, October 24, 2014 / Notices
ESTIMATE OF ANNUAL RESPONDENT BURDEN—Continued
Annual
responses
Form No.
Time
(minutes)
Burden
(hours)
RL–11D ........................................................................................................................................
RL–250 ........................................................................................................................................
250
11,950
10
10
42
1,992
Total ......................................................................................................................................
35,900
........................
10,001
Additional Information or Comments:
To request more information or to
obtain a copy of the information
collection justification, forms, and/or
supporting material, contact Dana
Hickman at (312) 751–4981 or
Dana.Hickman@RRB.GOV. Comments
regarding the information collection
should be addressed to Charles
Mierzwa, Railroad Retirement Board,
844 North Rush Street, Chicago, Illinois
60611–2092 or emailed to
Charles.Mierzwa@RRB.GOV. Written
comments should be received within 60
days of this notice.
Charles Mierzwa,
Chief of Information Resources Management.
[FR Doc. 2014–25312 Filed 10–23–14; 8:45 am]
BILLING CODE 7905–01–P
SECURITIES AND EXCHANGE
COMMISSION
[Investment Company Act Release No.
31296; File No. 812–14296]
Tennenbaum Opportunities Fund V,
LLC, et al.; Notice of Application
October 20, 2014.
Securities and Exchange
Commission (‘‘Commission’’).
ACTION: Notice of an application for an
order pursuant to sections 6(c), 17(b),
and 57(c) of the Investment Company
Act of 1940 (the ‘‘Act’’) for an
exemption from sections 17(a) and 57(a)
of the Act permitting certain
transactions.
asabaliauskas on DSK5VPTVN1PROD with NOTICES
AGENCY:
SUMMARY OF THE APPLICATION:
Applicants request a time-limited
exemptive order (the ‘‘Order’’) that
would permit applicant investment
companies registered under the Act to
sell certain assets to applicant business
development companies (‘‘BDCs’’) that
share a common investment adviser in
transactions that would otherwise be
prohibited by sections 17(a)(2) and
57(a)(1) of the Act.
APPLICANTS: Tennenbaum Opportunities
Fund V, LLC (‘‘TOF’’); Tennenbaum
Opportunities Partners V, LP (‘‘TOP,’’
and, together with TOF, the ‘‘Registered
Fund’’); TCP Capital Corp. (‘‘TCPC’’);
Special Value Continuation Partners, LP
VerDate Sep<11>2014
20:00 Oct 23, 2014
Jkt 235001
(‘‘SVCP,’’ and, together with TCPC, the
‘‘BDC Applicant’’); and Tennenbaum
Capital Partners, LLC (the ‘‘Manager’’)
(collectively, the ‘‘Applicants’’).
The application was filed
on April 2, 2014, and amended on May
16, 2014, June 9, 2014, July 11, 2014,
August 8, 2014, October 14, 2014, and
October 17, 2014.
FILING DATES:
An
order granting the application will be
issued unless the Commission orders a
hearing. Interested persons may request
a hearing by writing to the
Commission’s Secretary and serving
applicants with a copy of the request,
personally or by mail. Hearing requests
should be received by the Commission
by 5:30 p.m. on November 14, 2014, and
should be accompanied by proof of
service on applicants, in the form of an
affidavit or, for lawyers, a certificate of
service. Pursuant to Rule 0–5 under the
Act, hearing requests should state the
nature of the writer’s interest, any facts
bearing upon the desirability of a
hearing on the matter, the reason for the
request, and the issues contested.
Persons who wish to be notified of a
hearing may request notification by
writing to the Commission’s Secretary.
HEARING OR NOTIFICATION OF HEARING:
The Commission: Brent J.
Fields, Secretary, U.S. Securities and
Exchange Commission, 100 F Street NE.,
Washington, DC 20549–1090.
Applicants: Howard M. Levkowitz, c/o
Tennenbaum Capital Partners, LLC,
2951 28th Street, Suite 1000, Santa
Monica, CA 90405.
ADDRESSES:
Anil
K. Abraham, Senior Special Counsel, at
(202) 551–2614, or Daniele Marchesani,
Branch Chief, at (202) 551–6821
(Division of Investment Management,
Chief Counsel’s Office).
FOR FURTHER INFORMATION CONTACT:
The
following is a summary of the
application. The complete application
may be obtained via the Commission’s
Web site by searching for the file
number, or an applicant using the
Company name box, at https://
www.sec.gov/search/search.htm or by
calling (202) 551–8090.
SUPPLEMENTARY INFORMATION:
PO 00000
Frm 00058
Fmt 4703
Sfmt 4703
Applicants’ Representations
1. TOF is a limited liability company
organized in Delaware and registered
under the Act as a non-diversified
closed-end management investment
company. TOP is a limited partnership
organized in Delaware and registered
under the Act as a non-diversified
closed-end management investment
company. TOF invests substantially all
of its assets in, and operates through,
TOP. All of TOP’s common limited
partner interests are owned by TOF.
TOP also has preferred limited partner
interests and debt outstanding.
2. TCPC is a Delaware corporation
and a non-diversified closed-end
management investment company that
has elected to be regulated as a BDC
under the Act.1 TCPC’s common shares
trade on the NASDAQ Global Select
Market. SVCP is a Delaware limited
partnership and a non-diversified
closed-end management investment
company that also has elected to be
regulated as a BDC under the Act. TCPC
invests substantially all of its assets in,
and operates through, SVCP. All of
SVCP’s common limited partner
interests are owned by TCPC. SVCP also
has issued preferred limited partner
interests under its leverage program to
the same institutions that acquired its
debt.
3. The Manager is a Delaware limited
liability company registered as an
investment adviser under the
Investment Advisers Act of 1940
(‘‘Advisers Act’’). The Manager serves as
investment adviser both to the
Registered Fund and the BDC Applicant
(each, a ‘‘Fund,’’ and, collectively, the
‘‘Funds’’) and manages both Funds in
accordance with their respective
investment objectives and strategies.
Each Fund is governed by a board of
directors (‘‘Board’’).
4. The Registered Fund seeks to
achieve high total returns while
minimizing losses and invests in high
yielding debt, distressed debt, equity
1 Section 2(a)(48) of the Act defines a BDC to be
any closed-end investment company that operates
for the purpose of making investments in securities
described in sections 55(a)(1) through 55(a)(3) of the
Act and makes available significant managerial
assistance with respect to the issuers of such
securities.
E:\FR\FM\24OCN1.SGM
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]]>Agencies
[Federal Register Volume 79, Number 206 (Friday, October 24, 2014)]
[Notices]
[Pages 63652-63654]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-25312]
=======================================================================
-----------------------------------------------------------------------
RAILROAD RETIREMENT BOARD
Proposed Collection; Comment Request
Summary: In accordance with the requirement of Section
3506(c)(2)(A) of the Paperwork Reduction Act of 1995 which provides
opportunity for public comment on new or revised data collections, the
Railroad Retirement Board (RRB) will publish periodic summaries of
proposed data collections.
Comments are invited on: (a) Whether the proposed information
collection is necessary for the proper performance of the functions of
the agency, including whether the information has practical utility;
(b) the accuracy of the RRB's estimate of the burden of the collection
of the information; (c) ways to enhance the quality, utility, and
clarity of the information to be collected; and (d) ways to minimize
the burden related to the collection of information on respondents,
including the use of automated collection techniques or other forms of
information technology.
1. Title and purpose of information collection: Railroad Service
and Compensation Reports/System Access Application; OMB 3220-0008.
Under Section 9 of the Railroad Retirement Act (RRA) and Section 6
of the Railroad Unemployment Insurance Act (RUIA) the Railroad
Retirement Board (RRB) maintains for each railroad employee, a record
of compensation paid to that employee by all railroad employers for
whom the employee worked after 1936. This record, which is used by the
RRB to determine eligibility for, and amount of, benefits due under the
laws it administers, is conclusive as to the amount of compensation
paid to an employee during such period(s) covered by the report(s) of
the compensation by the employee's railroad employer(s), except in
cases when an employee files a protest pertaining to his or her
reported compensation within the statute of limitations cited in
Section 9 of the RRA and Section 6 of the RUIA.
To enable the RRB to establish and maintain the record of
compensation, employers are required to file with the RRB, reports of
their employees' compensation, in such manner and form and at such
times as the RRB prescribes. Railroad employers' reports and
responsibilities are prescribed in 20 CFR 209. The RRB currently
utilizes Form BA-3, Annual Report of Creditable Compensation, and Form
BA-4, Report of Creditable Compensation Adjustments, to secure the
required information from railroad employers. Form BA-3 provides the
RRB with information regarding annual creditable service and
compensation for each individual who worked for a railroad employer
covered by the RRA and RUIA in a given year. Form BA-4 provides for the
adjustment of any previously submitted reports and also the opportunity
to provide any service and compensation that had been previously
omitted. Requirements specific to Forms BA-3 and BA-4 are prescribed in
20 CFR 209.8 and 209.9.
Employers currently have the option of submitting BA-3 and BA-4
reports electronically by CD-ROM, File Transfer Protocol (FTP), secure
Email, or online via the RRB's Employer Reporting System (ERS).
The information collection also includes RRB Form BA-12,
Application for Employer Reporting Internet Access, and Form G-440,
Report Specifications Sheet. Form BA-12 is completed by railroad
employers to obtain system access to ERS. Once access is obtained,
authorized employees may submit reporting forms online to the RRB. The
form determines what degree of access (view/only, data entry/
modification or approval/submission) is appropriate for that employee.
It is also used to terminate an employee's access to ERS. Form G-440,
Report Specifications Sheet, serves as a certification document for
various RRB employer reporting forms (Forms BA-3, BA-4, Form BA-6a, BA-
6, Address Report (OMB 3220-0005), BA-9, Report of Separation Allowance
or Severance Pay (OMB 3220-0173) and BA-11, Report of Gross Earnings
(OMB 3220-0132)). It records the type of medium the report was
submitted on, and serves as a summary recapitulation sheet for reports
filed on paper. The RRB proposes minor non-burden impacting changes to
Form BA-12 and G-440.
[[Page 63653]]
Estimate of Annual Respondent Burden
----------------------------------------------------------------------------------------------------------------
Burden
Reporting Responses Time (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
BA-3:
Paper..................................... 24 116.85 (7,011 min).............. 2,804
Electronic Media.......................... 96 46.25 (2,775 min)............... 4,440
BA-3 (Internet)........................... 593 46.25 (2,775 min)............... 27,426
-----------------------------------------------------------------
Total BA-3............................ 713 ................................ 34,670
BA-4:
Paper..................................... 160 1.25 (75 min)................... 200
Electronic Media.......................... 285 1.00 (60 min)................... 285
BA-4 (Internet)........................... 3,852 .33 (20 min).................... 1,284
-----------------------------------------------------------------
Total BA-4............................ 4,297 ................................ 1,769
BA-12:
Initial Access............................ 295 .33 (20 min).................... 98
Access Termination........................ 38 .166 (10 min)................... 6
-----------------------------------------------------------------
Total BA-12........................... 333 ................................ 105
G-440 (Certification):
Form BA-3 (zero employees)................ 19 .25 (15 min).................... 5
Form BA-11 (zero employees)............... 60 .25 (15 min).................... 15
Paper forms (without recap)............... 7 .25 (15 min).................... 2
Electronic transactions................... 94 .50 (30 min).................... 47
BA-3 and BA-4 (with recap)................ 125 1.25 (75 min)................... 156
-----------------------------------------------------------------
Total G-440............................... 305 ................................ 224
=================================================================
Grand Total........................... 5,648 ................................ 36,768
----------------------------------------------------------------------------------------------------------------
2. Title and purpose of information collection: Medical Reports;
OMB 3220-0038.
Under sections 2(a)(1)(iv) and 2(a)(1)(v) of the Railroad
Retirement Act (RRA), annuities are payable to qualified railroad
employees whose physical or mental condition makes them unable to (1)
work in their regular occupation (occupational disability) or (2) work
at all (permanent total disability). The requirements for establishing
disability and proof of continuing disability under the RRA are
prescribed in 20 CFR 220.
Under Sections 2(c)(1)(ii)(C) and 2(d)(1)(ii) of the RRA, annuities
are also payable to qualified spouses and widow(ers), respectively, who
have a qualifying child who became disabled before age 22. Annuities
are also payable to surviving children on the basis of disability under
section 2(d)(1)(iii)(C) if the child's disability began before age 22
as well as to widow(er)s on the basis of disability under section
2(d)(1)(i)(B). To meet the disability standard, the RRA provides that
individuals must have a permanent physical or mental condition that
makes them unable to engage in any regular employment.
Under section 2(d)(1)(v) of the RRA, annuities are also payable to
remarried widow(er)s and surviving divorced spouses on the basis of,
among other things, disability or having a qualifying disabled child in
care. However, the disability standard in these cases is that found in
the Social Security Act. That is, individuals must be unable to engage
in any substantial gainful activity by reason of any medically
determinable physical or mental impairment. The RRB also determines
entitlement to a Period of Disability and entitlement to early Medicare
based on disability for qualified claimants in accordance with Section
216 of the Social Security Act.
When making disability determinations, the RRB needs evidence from
acceptable medical sources. The RRB currently utilizes Forms G-3EMP,
Report of Medical Condition by Employer; G-197, Authorization to
Release Medical Information to the Railroad Retirement Board; G-250,
Medical Assessment; G-250A, Medical Assessment of Residual Functional
Capacity; G-260, Report of Seizure Disorder; RL-11B, Disclosure of
Hospital Medical Records; RL-11D, Disclosure of Medical Records from a
State Agency; and RL-250, Request for Medical Assessment, to obtain the
necessary medical evidence. One response is requested of each
respondent. Completion is voluntary.
The RRB proposes to add a fraud statement; request a doctor's
National Provider Number; and make other minor non-burden impacting
editorial and cosmetic changes to Forms G-250, G-250A, and G-260. The
RRB also proposes to revise Form G-197 to include authorization to
disclose educational records from various sources, as well as make
other minor non-burden impacting editorial changes.
Estimate of Annual Respondent Burden
----------------------------------------------------------------------------------------------------------------
Annual Time Burden
Form No. responses (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
G-3EMP.......................................................... 600 10 100
G-197........................................................... 6,000 10 1,000
G-250........................................................... 11,950 30 5,975
G-250A.......................................................... 50 20 17
G-260........................................................... 100 25 42
RL-11B.......................................................... 5,000 10 833
[[Page 63654]]
RL-11D.......................................................... 250 10 42
RL-250.......................................................... 11,950 10 1,992
-----------------------------------------------
Total....................................................... 35,900 .............. 10,001
----------------------------------------------------------------------------------------------------------------
Additional Information or Comments: To request more information or
to obtain a copy of the information collection justification, forms,
and/or supporting material, contact Dana Hickman at (312) 751-4981 or
Dana.Hickman@RRB.GOV. Comments regarding the information collection
should be addressed to Charles Mierzwa, Railroad Retirement Board, 844
North Rush Street, Chicago, Illinois 60611-2092 or emailed to
Charles.Mierzwa@RRB.GOV. Written comments should be received within 60
days of this notice.
Charles Mierzwa,
Chief of Information Resources Management.
[FR Doc. 2014-25312 Filed 10-23-14; 8:45 am]
BILLING CODE 7905-01-P
