Agency Forms Submitted for OMB Review, Request for Comments, 36539-36541 [E9-17510]

Download as PDF Federal Register / Vol. 74, No. 140 / Thursday, July 23, 2009 / Notices based on volume or postage commitments made by the customers, or updated costing information, these differences do not affect the contracts’ functional equivalency because the GEPS 1 contracts share similar cost attributes and methodology. Id. at 4–5. The Postal Service also states the instant contract has minor differences in terms compared to other GEPS 1 contracts based on the individual mailers. These distinctions include provisions clarifying the correlation between regulatory oversight and contract expiration 4 and the availability of other Postal Service products and services; exclusion of certain flat rate products from the mail qualifying for discounts; a simpler mailing notice requirement along with provisions to meet scheduling needs; mail tender location changes; specific liquidated damages terms; provisions clarifying the mailer’s volume and revenue commitment calculation in the event of early termination; and provisions clarifying aspects subject to regulatory oversight or revisions to update terms or references from a prior contract. Id. at 5–6. The Postal Service states that these differences related to a particular mailer are ‘‘incidental differences’’ and do not change the conclusion that these agreements are functionally equivalent in all substantive aspects. Id. at 7. The Postal Service requests that this contract be included within the GEPS 1 product and be considered the baseline contract for determining functional equivalence for additional GEPS 1 contracts. Id. II. Notice of Filing erowe on DSK5CLS3C1PROD with NOTICES The Commission establishes Docket No. CP2009–50 for consideration of matters related to the contract identified in the Postal Service’s Notice. Interested persons may submit comments on whether the Postal Service’s contract is consistent with the policies of 39 U.S.C. 3632, 3622 or 3642. Comments are due no later than July 27, 2009. The public portions of these filings can be accessed via the Commission’s Web site (https:// www.prc.gov). The Commission appoints Paul L. Harrington to serve as Public Representative in the captioned filings. 4 The Postal Service states that some of the contracts generally provide that if all applicable reviews have not been completed at the time an older contract expires, the mailer must pay published prices until some alternative becomes available. It seeks approval for the instant agreement prior to expiration of the current agreement. VerDate Nov<24>2008 15:01 Jul 22, 2009 Jkt 217001 III. Ordering Paragraphs It is ordered: 1. The Commission establishes Docket No. CP2009–50 for consideration of the issues raised in this docket. 2. Comments by interested persons in these proceedings are due no later than July 27, 2009. 3. Pursuant to 39 U.S.C. 505, Paul L. Harrington is appointed to serve as officer of the Commission (Public Representative) to represent the interests of the general public in these proceedings. 4. The Secretary shall arrange for publication of this order in the Federal Register. By the Commission. Judith M. Grady, Acting Secretary. [FR Doc. E9–17605 Filed 7–22–09; 8:45 am] BILLING CODE 7710–FW–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: Request for Medicare Payment; OMB 3220–0131. Under Section 7(d) of the Railroad Retirement Act, the RRB administers the Medicare program for persons covered by the railroad retirement system. The collection obtains the information needed by Palmetto GBA, the Medicare carrier for railroad retirement beneficiaries, to pay claims for payments under Part B of the Medicare program. Authority for collecting the information is prescribed in 42 CFR 424.32. The RRB currently utilizes Forms G– 740S, Patient’s Request for Medicare PO 00000 Frm 00092 Fmt 4703 Sfmt 4703 36539 Payment, (along with Centers for Medicare and Medicaid Services Form CMS–1500) to secure the information necessary to pay Part B Medicare Claims. One response is completed for each claim. Completion is required to obtain a benefit. The RRB proposes minor, non-burden impacting editorial changes to RRB Form G–740S. The RRB estimates annual respondent burden associated with RRB Form G–740s as follows: Estimated number of responses: 100. Estimated completion time per response: 15 minutes. Estimated annual burden hours: 25. Additional Information or Comments: 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. E9–17509 Filed 7–22–09; 8:45 am] BILLING CODE 7905–01–P RAILROAD RETIREMENT BOARD Agency Forms Submitted for OMB Review, Request for Comments Summary: In accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35), the Railroad Retirement Board (RRB) is forwarding two (2) Information Collection Requests (ICR) to the Office of Information and Regulatory Affairs (OIRA), Office of Management and Budget (OMB). Our ICR describes the information we seek to collect from the public. Review and approval by OIRA ensures that we impose appropriate paperwork burdens. The RRB invites comments on the proposed collections of information to determine (1) the practical utility of the collections; (2) the accuracy of the estimated burden of the collections; (3) ways to enhance the quality, utility and clarity of the information that is the subject of collection; and (4) ways to minimize the burden of collections on respondents, including the use of automated collection techniques or other forms of information technology. Comments to RRB or OIRA must contain the OMB control number of the ICR. For E:\FR\FM\23JYN1.SGM 23JYN1 36540 Federal Register / Vol. 74, No. 140 / Thursday, July 23, 2009 / Notices proper consideration of your comments, it is best if RRB and OIRA receive them within 30 days of publication date. 1. Title and purpose of information collection: Non-Resident Questionnaire; 3220–0145. Under Public Laws 98–21 and 98–76, benefits under the Railroad Retirement Act payable to annuitants living outside the United States may be subject to taxation under United States income tax laws. Whether the social security equivalent and non-social security equivalent portions of Tier I, Tier II, vested dual benefit, or supplemental annuity payments are subject to tax withholding, and whether the same or different rates are applied to each payment, depends on a beneficiary’s citizenship and legal residence status, and whether exemption under a tax treaty between the United States and the country in which the beneficiary is a legal resident has been claimed. To effect the tax withholding, the Railroad Retirement Board (RRB) needs to know a nonresidents citizenship and legal residence status. To secure the required information, the RRB utilizes Form RRB–1001, Nonresident Questionnaire, as a supplement to an application as part of the initial application process, and as an independent vehicle for obtaining the needed information when an annuitant’s residence or tax treaty status changes. Completion is voluntary. One response is requested of each respondent. The RRB estimates that 1,300 Form RRB–1001’s are completed annually. The completion time for Form RRB– 1001 is estimated at 30 minutes. Previous Requests for Comments: The RRB has already published the initial 60-day notice (74 FR 17895 on April 17, 2009) required by 44 U.S.C. 3506(c)(2). That request elicited no comments. Information Collection Request (ICR) Title: Nonresident Questionnaire. Form(s) submitted: RRB–1001. OMB Control Number: 3220–0145. Expiration date of current OMB clearance: 7/31/2009. Type of request: Extension without change of a currently approved collection. Affected Public: Individuals or households. Estimated annual number of respondents: 1,300. Total annual responses: 1,300. Total annual reporting hours: 650. Abstract: Under the Railroad Retirement Act, the benefits payable to an annuitant living outside the United States may be subject to withholding under Public Laws 98–21 and 98–76. The form obtains the information needed to determine the amount to be withheld. Changes Proposed: The RRB proposes no changes to Form RRB–1001. 2. Title and Purpose of Information Collection: Application for Survivor Insurance Annuities. Under Section 2(d) of the Railroad Retirement Act (RRA), monthly survivor annuities are payable to surviving widow(er)s, parents, unmarried children, and in certain cases, divorced wives (husbands), mothers (fathers), remarried widow(er)s, and grandchildren of deceased railroad employees. The collection obtains the information required by the RRB to determine entitlement to and the amount of the annuity applied for. The RRB currently utilizes Form(s) AA–17, Application for Widow(ers) Annuity, AA–17b Applications for Determination of Widow(er) Disability, AA–17cert, Application Summary and Certification, AA–18, Application for Mother’s/Father’s and Child’s Annuity, AA–19, Application for Child’s Annuity, AA–19a, Application for Determination of Child Disability, and AA–20, Application for Parent’s Annuity to obtain the necessary information. One response is requested of each respondent. Completion is required to obtain benefits. ESTIMATE OF ANNUAL RESPONDENT BURDEN Annual responses Form No. Time (min) Burden (hrs) AA–17 (without assistance) ......................................................................................................... AA–17b (total) .............................................................................................................................. (with assistance) .......................................................................................................................... (without assistance) ..................................................................................................................... AA–17cert .................................................................................................................................... AA–18 (without assistance) ......................................................................................................... AA–19 (without assistance) ......................................................................................................... AA–19a (total) .............................................................................................................................. (with assistance) .......................................................................................................................... (without assistance) ..................................................................................................................... AA–20 (without assistance) ......................................................................................................... 100 300 280 20 3,000 12 9 300 285 15 1 47 ........................ 40 50 20 47 47 ........................ 45 65 47 78 270 187 17 1,000 9 7 230 214 16 1 Total ...................................................................................................................................... 4,022 ........................ 1,529 Previous Requests for Comments: The RRB has already published the initial 60-day notice (74 FR 18408 on April 22, 2009) required by 44 U.S.C. 3506(c)(2). That request elicited no comments. erowe on DSK5CLS3C1PROD with NOTICES Information Collection Request (ICR) Title: Application for Survivor Insurance Annuities. OMB Control Number: 3220–0030. Form(s) submitted: AA–17, AA–17b, AA–17cert, AA–18, AA–19, AA–19a, AA–20. VerDate Nov<24>2008 15:01 Jul 22, 2009 Jkt 217001 Type of request: Extension without change of a currently approved collection. Affected public: Individuals or households. Abstract: Under Section 2(d) of the Railroad Retirement Act, monthly survivor annuities are payable to surviving widow(er)s, parents, unmarried children, and in certain cases, divorced wives (husband), mothers (fathers), remarried widow(er)s and grandchildren of deceased railroad employees. The collection obtains PO 00000 Frm 00093 Fmt 4703 Sfmt 4703 information needed by the RRB for determining entitlement to and amount of the annuity applied for. Changes Proposed: The RRB proposes no changes to the forms in the information collection. The burden estimate for the ICR is as follows: Estimated annual number of respondents: 4,022. Total annual responses: 4,022. Total annual reporting hours: 1,529. Additional Information or Comments: Copies of the form and supporting E:\FR\FM\23JYN1.SGM 23JYN1 Federal Register / Vol. 74, No. 140 / Thursday, July 23, 2009 / Notices documents can be obtained from Charles Mierzwa, the agency clearance officer at (312–751–3363) or 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 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. Charles Mierzwa, Clearance Officer. [FR Doc. E9–17510 Filed 7–22–09; 8:45 am] BILLING CODE 7905–01–P SMALL BUSINESS ADMINISTRATION [Disaster Declaration #11813 and #11814] Illinois Disaster #IL–00021 erowe on DSK5CLS3C1PROD with NOTICES AGENCY: U.S. Small Business Administration. ACTION: Notice. SUMMARY: This is a notice of an Administrative declaration of a disaster for the State of Illinois dated 07/16/ 2009. Incident: Severe storms and tornadoes. Incident Period: 05/08/2009. DATES: Effective Date: 07/16/2009. Physical Loan Application Deadline Date: 09/14/2009. Economic Injury (EIDL) Loan Application Deadline Date: 04/16/2010. ADDRESSES: Submit completed loan applications to: U.S. Small Business Administration, Processing and Disbursement Center, 14925 Kingsport Road, Fort Worth, TX 76155. FOR FURTHER INFORMATION CONTACT: A. Escobar, Office of Disaster Assistance, U.S. Small Business Administration, 409 3rd Street, SW., Suite 6050, Washington, DC 20416. SUPPLEMENTARY INFORMATION: Notice is hereby given that as a result of the Administrator’s disaster declaration, applications for disaster loans may be filed at the address listed above or other locally announced locations. The following areas have been determined to be adversely affected by the disaster: Primary Counties: Jackson, Williamson. Contiguous Counties: Illinois: Franklin, Johnson, Perry, Pope, Randolph, Saline, Union. Missouri: Perry. The Interest Rates are: VerDate Nov<24>2008 15:01 Jul 22, 2009 Jkt 217001 36541 or to register their securities under the Securities Act of 1933. The primary purpose of the registration process is to 2.437 provide disclosure of financial and other information to investors and 6.000 potential investors for the purpose of evaluating an investment in a security. 4.000 Form N–4 also permits separate accounts organized as unit investment trusts that offer variable annuity 4.500 contracts to provide investors with a prospectus containing the information 4.000 required in a registration statement prior to the sale or at the time of confirmation or delivery of the securities. The The number assigned to this disaster estimated annual number of for physical damage is 11813 B and for respondents filing on Form N–4 is 104 economic injury is 11814 0. The States which received an EIDL for those filing initial registration Declaration # are Illinois, Missouri. statements and 1,360 for those filing post-effective amendments. The (Catalog of Federal Domestic Assistance Numbers 59002 and 59008) proposed frequency of response is annual. The estimate of the total annual Dated: July 16, 2009. reporting burden of the collection of Karen G. Mills, information is approximately 278.5 Administrator. hours per initial filing and 197.25 hours [FR Doc. E9–17518 Filed 7–22–09; 8:45 am] for a post-effective amendment, for a BILLING CODE 8025–01–P total of 297,224 hours ((104 initial registration statements × 278.5 hours) + (1,360 post-effective amendments × SECURITIES AND EXCHANGE 197.25 hour)). Providing the information COMMISSION required by Form N–4 is mandatory. Responses will not be kept confidential. Proposed Collection; Comment Estimates of the burden hours are made Request solely for the purposes of the Paperwork Upon Written Request, Copies Available Reduction Act, and are not derived from From: Securities and Exchange a comprehensive or even a Commission, Office of Investor representative survey or study of the Education and Advocacy, costs of Commission rules and forms. Washington, DC 20549–0213. Written comments are invited on: (a) Extension: Whether the proposed collection of Form N–4, SEC File No. 270–282, OMB information is necessary for the proper Control No. 3235–0318. performance of the functions of the Notice is hereby given that, pursuant to the Paperwork Reduction Act of 1995 agency, including whether the information will have practical utility; (44 U.S.C. 3501 et seq.), the Securities (b) the accuracy of the agency’s estimate and Exchange Commission (the of the burden of the collection of ‘‘Commission’’) is soliciting comments information; (c) ways to enhance the on the collection of information quality, utility, and clarity of the summarized below. The Commission information collected; and (d) ways to plans to submit this existing collection of information to the Office of minimize the burden of the collection of Management and Budget for extension information on respondents, including and approval. through the use of automated collection The collection of information is techniques or other forms of information entitled: ‘‘Form N–4 (17 CFR 239.17b technology. Consideration will be given and 274.11c) under the Securities Act of to comments and suggestions submitted 1933 (15 U.S.C. 77a et seq.) under the in writing within 60 days of this Investment Company Act of 1940 (15 publication. U.S.C. 80a–1 et seq.) registration Please direct your written comments statement of separate accounts to Charles Boucher, Director/CIO, organized as unit investment trusts.’’ Form N–4 is the form used by insurance Securities and Exchange Commission, company separate accounts organized as C/O Shirley Martinson, 6432 General unit investment trusts that offer variable Green Way, Alexandria, VA 22312; or send an e-mail to: annuity contracts to register as PRA_Mailbox@sec.gov. investment companies under the Investment Company Act of 1940 and/ Homeowners with Credit Available Elsewhere ................................. Homeowners without Credit Available Elsewhere ......................... Businesses with Credit Available Elsewhere ................................. Businesses & Small Agricultural Cooperatives without Credit Available Elsewhere .................. Other (Including Non-Profit Organizations) with Credit Available Elsewhere ................................. Businesses and Non-Profit Organizations without Credit Available Elsewhere ......................... PO 00000 Frm 00094 Fmt 4703 Sfmt 4703 4.875 E:\FR\FM\23JYN1.SGM 23JYN1

Agencies

[Federal Register Volume 74, Number 140 (Thursday, July 23, 2009)]
[Notices]
[Pages 36539-36541]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-17510]


-----------------------------------------------------------------------

RAILROAD RETIREMENT BOARD


Agency Forms Submitted for OMB Review, Request for Comments

    Summary: In accordance with the Paperwork Reduction Act of 1995 (44 
U.S.C. Chapter 35), the Railroad Retirement Board (RRB) is forwarding 
two (2) Information Collection Requests (ICR) to the Office of 
Information and Regulatory Affairs (OIRA), Office of Management and 
Budget (OMB). Our ICR describes the information we seek to collect from 
the public. Review and approval by OIRA ensures that we impose 
appropriate paperwork burdens.
    The RRB invites comments on the proposed collections of information 
to determine (1) the practical utility of the collections; (2) the 
accuracy of the estimated burden of the collections; (3) ways to 
enhance the quality, utility and clarity of the information that is the 
subject of collection; and (4) ways to minimize the burden of 
collections on respondents, including the use of automated collection 
techniques or other forms of information technology. Comments to RRB or 
OIRA must contain the OMB control number of the ICR. For

[[Page 36540]]

proper consideration of your comments, it is best if RRB and OIRA 
receive them within 30 days of publication date.
    1. Title and purpose of information collection: Non-Resident 
Questionnaire; 3220-0145.
    Under Public Laws 98-21 and 98-76, benefits under the Railroad 
Retirement Act payable to annuitants living outside the United States 
may be subject to taxation under United States income tax laws. Whether 
the social security equivalent and non-social security equivalent 
portions of Tier I, Tier II, vested dual benefit, or supplemental 
annuity payments are subject to tax withholding, and whether the same 
or different rates are applied to each payment, depends on a 
beneficiary's citizenship and legal residence status, and whether 
exemption under a tax treaty between the United States and the country 
in which the beneficiary is a legal resident has been claimed. To 
effect the tax withholding, the Railroad Retirement Board (RRB) needs 
to know a nonresidents citizenship and legal residence status.
    To secure the required information, the RRB utilizes Form RRB-1001, 
Nonresident Questionnaire, as a supplement to an application as part of 
the initial application process, and as an independent vehicle for 
obtaining the needed information when an annuitant's residence or tax 
treaty status changes. Completion is voluntary. One response is 
requested of each respondent.
    The RRB estimates that 1,300 Form RRB-1001's are completed 
annually. The completion time for Form RRB-1001 is estimated at 30 
minutes.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (74 FR 17895 on April 17, 2009) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Nonresident Questionnaire.
    Form(s) submitted: RRB-1001.
    OMB Control Number: 3220-0145.
    Expiration date of current OMB clearance: 7/31/2009.
    Type of request: Extension without change of a currently approved 
collection.
    Affected Public: Individuals or households.
    Estimated annual number of respondents: 1,300.
    Total annual responses: 1,300.
    Total annual reporting hours: 650.
    Abstract: Under the Railroad Retirement Act, the benefits payable 
to an annuitant living outside the United States may be subject to 
withholding under Public Laws 98-21 and 98-76. The form obtains the 
information needed to determine the amount to be withheld.
    Changes Proposed: The RRB proposes no changes to Form RRB-1001.
    2. Title and Purpose of Information Collection: Application for 
Survivor Insurance Annuities.
    Under Section 2(d) of the Railroad Retirement Act (RRA), monthly 
survivor annuities are payable to surviving widow(er)s, parents, 
unmarried children, and in certain cases, divorced wives (husbands), 
mothers (fathers), remarried widow(er)s, and grandchildren of deceased 
railroad employees. The collection obtains the information required by 
the RRB to determine entitlement to and the amount of the annuity 
applied for.
    The RRB currently utilizes Form(s) AA-17, Application for 
Widow(ers) Annuity, AA-17b Applications for Determination of Widow(er) 
Disability, AA-17cert, Application Summary and Certification, AA-18, 
Application for Mother's/Father's and Child's Annuity, AA-19, 
Application for Child's Annuity, AA-19a, Application for Determination 
of Child Disability, and AA-20, Application for Parent's Annuity to 
obtain the necessary information. One response is requested of each 
respondent. Completion is required to obtain benefits.

                                      Estimate of Annual Respondent Burden
----------------------------------------------------------------------------------------------------------------
                                                                      Annual
                            Form No.                                 responses      Time (min)     Burden (hrs)
----------------------------------------------------------------------------------------------------------------
AA-17 (without assistance)......................................             100              47              78
AA-17b (total)..................................................             300  ..............             270
 (with assistance)..............................................             280              40             187
 (without assistance)...........................................              20              50              17
AA-17cert.......................................................           3,000              20           1,000
AA-18 (without assistance)......................................              12              47               9
AA-19 (without assistance)......................................               9              47               7
AA-19a (total)..................................................             300  ..............             230
 (with assistance)..............................................             285              45             214
 (without assistance)...........................................              15              65              16
AA-20 (without assistance)......................................               1              47               1
                                                                 -----------------------------------------------
    Total.......................................................           4,022  ..............           1,529
----------------------------------------------------------------------------------------------------------------

    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (74 FR 18408 on April 22, 2009) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Application for Survivor Insurance Annuities.
    OMB Control Number: 3220-0030.
    Form(s) submitted: AA-17, AA-17b, AA-17cert, AA-18, AA-19, AA-19a, 
AA-20.
    Type of request: Extension without change of a currently approved 
collection.
    Affected public: Individuals or households.
    Abstract: Under Section 2(d) of the Railroad Retirement Act, 
monthly survivor annuities are payable to surviving widow(er)s, 
parents, unmarried children, and in certain cases, divorced wives 
(husband), mothers (fathers), remarried widow(er)s and grandchildren of 
deceased railroad employees. The collection obtains information needed 
by the RRB for determining entitlement to and amount of the annuity 
applied for.
    Changes Proposed: The RRB proposes no changes to the forms in the 
information collection.
    The burden estimate for the ICR is as follows:
    Estimated annual number of respondents: 4,022.
    Total annual responses: 4,022.
    Total annual reporting hours: 1,529.
    Additional Information or Comments: Copies of the form and 
supporting

[[Page 36541]]

documents can be obtained from Charles Mierzwa, the agency clearance 
officer at (312-751-3363) or 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 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.

Charles Mierzwa,
Clearance Officer.
[FR Doc. E9-17510 Filed 7-22-09; 8:45 am]
BILLING CODE 7905-01-P
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