Proposed Collection; Comment Request, 4891-4892 [05-1670]
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Federal Register / Vol. 70, No. 19 / Monday, January 31, 2005 / Notices
matter. The Subcommittee will gather
information, analyze relevant issues and
facts, and formulate proposed positions
and actions, as appropriate, for
deliberation by the full Committee.
Members of the public desiring to
provide oral statements and/or written
comments should notify the Designated
Federal Official, Mr. Ralph Caruso
(Telephone: 301–415–8065) five days
prior to the meeting, if possible, so that
appropriate arrangements can be made.
Electronic recordings will be permitted.
Further information regarding this
meeting can be obtained by contacting
the Designated Federal Official between
7:30 a.m. and 4:15 p.m. (e.t.). Persons
planning to attend this meeting are
urged to contact the above named
individual at least two working days
prior to the meeting to be advised of any
potential changes to the agenda.
Dated: January 25, 2005.
John H. Flack,
Acting Branch Chief, ACRS/ACNW.
[FR Doc. 05–1688 Filed 1–28–05; 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.
Title and Purpose of Information
Collection: Medical Reports; OMB
3220–0038.
Under Sections 2(a)(1)(iv), 2(a)(2) and
2(a)(3) of the Railroad Retirement Act
(RRA), annuities are payable to qualified
railroad employees whose physical or
mental condition is such that they are
unable to (1) work in their regular
occupation (occupational disability); or
(2) work at all (permanent total
disability). The requirements for
establishment of disability and proof of
continuance of disability are prescribed
in 20 CFR part 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
qualified child who is under a disability
which began 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 and to widow(ers)
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 such that
they are unable to engage in any regular
employment.
Under section 2(d)(1)(v) of the RRA,
annuities are also payable to remarried
and surviving divorced spouses on the
basis of, inter alia, disability or having
a qualified disabled child in care.
However, the disability standard in
these cases is that found in the Social
Security Act. That is, individuals must
be able 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
early disability and early Medicare
entitlement 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–250, Medical Assessment;
G–250a, Medical Assessment of
Residual Functional Capacity; G–260,
Report of Seizure Disorder; RL–11b,
Disclosure of Hospital Medical Records;
and RL–11d, Disclosure of Medical
Records from a State Agency; to obtain
the necessary medical evidence.
The RRB proposes significant changes
to the information collection. The
primary change is to add proposed Form
G–197, Authorization to Release
Medical Information, to the information
collection. Proposed Form G–197 will
be the standard Health Insurance
Portability and Accountability Act
(HIPAA) compliant release form used by
the RRB to obtain consent for the release
of medical evidence under the RRA. The
RRB also proposes to revise, renumber,
and rename current Form G–250 to
proposed Form RL–250, Request for
Medical Assessment. Currently, Form
G–250, requests a narrative report,
copies of office records of the claimant’s
treatment, requests completion of Form
G–250a, and includes a consent
statement that the claimant must sign.
Proposed Form RL–250 will not request
the narrative report nor contain a
consent statement. A new Form G–250,
titled Medical Assessment is proposed.
It is intended to provide more complete
information while being more userfriendly by formatting responses into a
question and answer format by body
system being evaluated. Forms G–3EMP,
and RL–11b are being revised to delete
the consent portions from the versions
currently in use. Minor editorial
changes are proposed to Form G–250a
which will continue to be used by
agency hearings officers as a means to
clarify, when necessary, information
previously received or to obtain precise
information needed to make a residual
functional capacity determination. No
changes are proposed to Form G–260.
Completion is voluntary. One response
is requested of each respondent.
ESTIMATE OF RESPONDENT BURDEN
Form No.
Annual response
Time (min)
Burden (hours)
G–3EMP ....................................................................................................................
G–197 ........................................................................................................................
G–250 ........................................................................................................................
G–250a ......................................................................................................................
G–260 ........................................................................................................................
RL–11b ......................................................................................................................
RL–250 ......................................................................................................................
600
6,000
11,950
50
100
5,000
11,950
10
10
30
20
25
10
10
100
1,000
5,975
17
42
833
1,992
Total ....................................................................................................................
35,900
..............................
9,501
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16:59 Jan 28, 2005
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4892
Federal Register / Vol. 70, No. 19 / Monday, January 31, 2005 / Notices
To
request more information or to obtain a
copy of the information collection
justification, forms, and/or supporting
material, please call the RRB Clearance
Officer at (312) 751–3363 or send an email request to
Charles.Mierzwa@RRB.GOV. Comments
regarding the information collection
should be addressed to Ronald J.
Hodapp, Railroad Retirement Board, 844
North Rush Street, Chicago, Illinois
60611–2092 or send an e-mail to
Ronald.Hodapp@RRB.GOV. Written
comments should be received within 60
days of this notice.
FOR FURTHER INFORMATION CONTACT:
Charles Mierzwa,
Clearance Officer.
[FR Doc. 05–1670 Filed 1–28–05; 8:45 am]
RAILROAD RETIREMENT BOARD
BILLING CODE 7905–01–P
SECURITIES AND EXCHANGE
COMMISSION
[Release No. 35–27941]
January 24, 2005.
Agency Forms Submitted for OMB
Review
SUMMARY: In accordance with the
Paperwork Reduction Act of 1995 (44
U.S.C. Chapter 35), the Railroad
Retirement Board (RRB) has submitted
the following proposal(s) for the
collection of information to the Office of
Management and Budget for review and
approval.
Summary of Proposal(s)
(1) Collection title: Financial
Disclosure Statement.
(2) Form(s) submitted: DR–423.
(3) OMB Number: 3220–0127.
(4) Expiration date of current OMB
clearance: 05/31/2005.
(5) Type of request: Revision of a
currently approved collection.
(6) Respondents: Individuals or
households.
(7) Estimated annual number of
respondents: 1,200.
(8) Total annual responses: 1,200.
(9) Total annual reporting hours:
1,700.
(10) Collection description: Under the
Railroad Retirement and the Railroad
Unemployment Insurance Acts, the
Railroad Retirement Board has authority
to secure from an overpaid beneficiary
a statement of the individual’s assets
and liabilities if waiver of the
overpayment is requested.
FOR FURTHER INFORMATION CONTACT:
Copies of the forms and supporting
documents can be obtained from
Charles Mierzwa, the agency clearance
officer (312–751–3363) or
Charles.Mierzwa@rrb.gov.
Comments regarding the information
collection should be addressed to
Ronald J. Hodapp, Railroad Retirement
16:59 Jan 28, 2005
Charles Mierzwa,
Clearance Officer.
[FR Doc. 05–1671 Filed 1–28–05; 8:45 am]
Filings Under the Public Utility Holding
Company Act of 1935, as Amended
(‘‘Act’’)
BILLING CODE 7905–01–P
VerDate jul<14>2003
Board, 844 North Rush Street, Chicago,
Illinois, 60611–2092 or
Ronald.Hodapp@rrb.gov and to the
OMB Desk Officer for the RRB, at the
Office of Management and Budget,
Room 10230, New Executive Office
Building, Washington, DC 20503.
Jkt 205001
Notice is hereby given that the
following filing(s) has/have been made
with the Commission pursuant to
provisions of the Act and rules
promulgated under the Act. All
interested persons are referred to the
application(s) and/or declaration(s) for
complete statements of the proposed
transaction(s) summarized below. The
application(s) and/or declaration(s) and
any amendment(s) is/are available for
public inspection through the
Commission’s Branch of Public
Reference.
Interested persons wishing to
comment or request a hearing on the
application(s) and/or declaration(s)
should submit their views in writing by
February 18, 2005, to the Secretary,
Securities and Exchange Commission,
Washington, DC 20549–0609, and serve
a copy on the relevant applicant(s) and/
or declarant(s) at the address(es)
specified below. Proof of service (by
affidavit or, in the case of an attorney at
law, by certificate) should be filed with
the request. Any request for hearing
should identify specifically the issues of
facts or law that are disputed. A person
who so requests will be notified of any
hearing, if ordered, and will receive a
copy of any notice or order issued in the
matter. After February 18, 2005, the
application(s) and/or declaration(s), as
filed or as amended, may be granted
and/or permitted to become effective.
Allegheny Energy, Inc., et al. (70–
10251)
Allegheny Energy, Inc. (‘‘Allegheny’’),
a registered holding company, and
Allegheny Energy Supply Company,
LLC (‘‘AE Supply,’’ and together with
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Sfmt 4703
Allegheny, ‘‘Applicants’’),1 a registered
holding company and public-utility
company subsidiary of Allegheny;
Allegheny Energy Service Corp.
(‘‘AESC’’), the system service company;
the Allegheny wholly-owned publicutility subsidiaries, Monongahela Power
Company (‘‘Monongahela’’),
Mountaineer Gas Company
(‘‘Mountaineer’’),2 The Potomac Edison
Company (‘‘Potomac Edison’’), West
Penn Power Company (‘‘West Penn’’),
and Allegheny Generating Company
(‘‘AGC’’) (Monongahela, Mountaineer,
Potomac Edison, West Penn and AGC,
collectively, ‘‘Utility Applicants’’, and
along with AE Supply and Allegheny,
collectively, ‘‘Money Pool
Applicants’’)), and the current and
future nonutility subsidiaries of
Allegheny (‘‘Nonutility Applicants’’),3
800 Cabin Hill Drive, Greensburg,
Pennsylvania 15601, have filed an
application-declaration (‘‘Application’’)
under sections 6, 7, 9(a), 10, 11, 12(b),
12(c), and 13 of the Act and rules 43, 45,
46, 54, 86, 87, 90 and 91 under the Act.
The Applicants request authority to
engage in financing transactions
necessary to their ongoing operations
and those of their subsidiaries through
November 30, 2007 (‘‘Authorization
Period’’) as well as authority to engage
in certain other transactions described
below that are necessary to the overall
operations of the Allegheny system. In
addition, the Money Pool Applicants
and AESC request authority to continue
the current Allegheny system money
pool (‘‘Money Pool’’).
On December 31, 2001, the
Commission issued an order 4
authorizing the Applicants to engage in
a broad range of financing transactions
through July 31, 2005. The Applicants
intend that the authority sought in this
1 AE Supply is a public utility company within
the meaning of the Act, but it is not subject to state
regulation. It is the principal electric generating
company for the Allegheny system.
2 On August 4, 2004, Allegheny announced it had
entered into an agreement to sell Mountaineer and
all of Allegheny’s West Virginia gas assets to a
partnership composed of IGS Utilities LLC, IGS
Holdings LLC, and affiliates of ArcLight Capital
Partners LLC. See SEC File No. 70–10270.
3 Other than AE Supply and the Utility
Applicants, the direct or indirect subsidiaries of
Allegheny, whether existing or to be formed or
acquired in the future, are referred to as the
Nonutility Applicants. The current Nonutility
Applicants are Allegheny Energy Solutions, Inc.,
Allegheny Ventures, Inc. (‘‘Ventures’’), Mountaineer
Gas Services, Inc., and the West Virginia Power &
Transmission Company (collectively, ‘‘Existing
Nonutility Subsidiaries’’).
4 See Holding Co. Act Release No. 27486 (Dec. 31,
2001) (‘‘2001 Financing Order’’), as supplemented
by Holding Co. Act Release No. 27521 (April 17,
2002), Holding Co. Act Release No. 27579 (Oct. 17,
2002), and Holding Co. Act Release No. 27652 (Feb.
21, 2003) (‘‘Capitalization Order’’).
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[Federal Register Volume 70, Number 19 (Monday, January 31, 2005)]
[Notices]
[Pages 4891-4892]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-1670]
=======================================================================
-----------------------------------------------------------------------
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.
Title and Purpose of Information Collection: Medical Reports; OMB
3220-0038.
Under Sections 2(a)(1)(iv), 2(a)(2) and 2(a)(3) of the Railroad
Retirement Act (RRA), annuities are payable to qualified railroad
employees whose physical or mental condition is such that they are
unable to (1) work in their regular occupation (occupational
disability); or (2) work at all (permanent total disability). The
requirements for establishment of disability and proof of continuance
of disability are prescribed in 20 CFR part 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 qualified child who is under a disability which began 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 and to widow(ers) 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 such that they are unable to engage in any regular
employment.
Under section 2(d)(1)(v) of the RRA, annuities are also payable to
remarried and surviving divorced spouses on the basis of, inter alia,
disability or having a qualified disabled child in care. However, the
disability standard in these cases is that found in the Social Security
Act. That is, individuals must be able 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
early disability and early Medicare entitlement 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-250, Medical Assessment; G-
250a, Medical Assessment of Residual Functional Capacity; G-260, Report
of Seizure Disorder; RL-11b, Disclosure of Hospital Medical Records;
and RL-11d, Disclosure of Medical Records from a State Agency; to
obtain the necessary medical evidence.
The RRB proposes significant changes to the information collection.
The primary change is to add proposed Form G-197, Authorization to
Release Medical Information, to the information collection. Proposed
Form G-197 will be the standard Health Insurance Portability and
Accountability Act (HIPAA) compliant release form used by the RRB to
obtain consent for the release of medical evidence under the RRA. The
RRB also proposes to revise, renumber, and rename current Form G-250 to
proposed Form RL-250, Request for Medical Assessment. Currently, Form
G-250, requests a narrative report, copies of office records of the
claimant's treatment, requests completion of Form G-250a, and includes
a consent statement that the claimant must sign. Proposed Form RL-250
will not request the narrative report nor contain a consent statement.
A new Form G-250, titled Medical Assessment is proposed. It is intended
to provide more complete information while being more user-friendly by
formatting responses into a question and answer format by body system
being evaluated. Forms G-3EMP, and RL-11b are being revised to delete
the consent portions from the versions currently in use. Minor
editorial changes are proposed to Form G-250a which will continue to be
used by agency hearings officers as a means to clarify, when necessary,
information previously received or to obtain precise information needed
to make a residual functional capacity determination. No changes are
proposed to Form G-260. Completion is voluntary. One response is
requested of each respondent.
Estimate of Respondent Burden
----------------------------------------------------------------------------------------------------------------
Form No. Annual response Time (min) Burden (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
RL-250................................................. 11,950 10 1,992
--------------------
Total.............................................. 35,900 ................. 9,501
----------------------------------------------------------------------------------------------------------------
[[Page 4892]]
FOR FURTHER INFORMATION CONTACT: To request more information or to
obtain a copy of the information collection justification, forms, and/
or supporting material, please call the RRB Clearance Officer at (312)
751-3363 or send an e-mail request to Charles.Mierzwa@RRB.GOV. Comments
regarding the information collection should be addressed to Ronald J.
Hodapp, Railroad Retirement Board, 844 North Rush Street, Chicago,
Illinois 60611-2092 or send an e-mail to Ronald.Hodapp@RRB.GOV. Written
comments should be received within 60 days of this notice.
Charles Mierzwa,
Clearance Officer.
[FR Doc. 05-1670 Filed 1-28-05; 8:45 am]
BILLING CODE 7905-01-P
