Agency Forms Submitted for OMB Review, Request for Comments, 41313-41314 [2011-17644]
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mstockstill on DSK4VPTVN1PROD with NOTICES
Federal Register / Vol. 76, No. 134 / Wednesday, July 13, 2011 / Notices
accuracy of the agency’s estimate of the
burden of the proposed collection of
information, including the validity of
the information to be collected; and,
ways to minimize the burden of the
collection of information on those who
respond, including through the use of
automated collection techniques, when
appropriate, and other forms of
information technology.
DATES: Comments regarding this
collection must be received on or before
August 12, 2011.
ADDRESSES: Interested persons are
invited to submit comments regarding
this proposal. Comments should refer to
the proposal by name/or OMB approval
number and should be sent via e-mail
to: oira_submission@omb.eop.gov or fax
to: 202–395–3086. Attention: Desk
Officer for Peace Corps.
FOR FURTHER INFORMATION CONTACT:
Denora Miller, FOIA Officer, Peace
Corps, 1111 20th Street, NW.,
Washington, DC 20526, (202) 692–1236,
or e-mail at pcfr@peacecorps.gov.
Copies of available documents
submitted to OMB may be obtained
from Denora Miller.
SUPPLEMENTARY INFORMATION: The Peace
Corps Fellows/USA provides
opportunities for returned Peace Corps
Volunteers to pursue graduate education
while working in schools and
underserved communities. The purpose
of this information collection is to
identify areas of the Fellows/USA
program that need improvement and
better meet the educational needs of
inquirers. The survey seeks to discover
the reasons why inquirers who have
taken the time to contact the Peace
Corps for information on the Fellows/
USA program have not eventually
enrolled.
Title: Fellows/USA Program
Improvement Survey.
OMB Control Number: 0420–0537.
Type of Review: Reinstatement,
without change, of a previously
approved collection which has expired.
Respondents: Returned Peace Corps
Volunteers.
Burden to the Public:
a. Estimated annual number of
respondents: 1,000.
b. Estimated average time to respond:
7 minutes.
c. Estimated total annual burden
hours: 117 hours.
d. Frequency of response: One time.
e. Estimated cost to respondents:
$0.00.
Dated: July 7, 2011.
Earl W. Yates,
Associate Director for Management.
[FR Doc. 2011–17537 Filed 7–12–11; 8:45 am]
BILLING CODE 6051–01–P
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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
three 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 the RRB or OIRA must
contain the OMB control number of the
ICR. For proper consideration of your
comments, it is best if the RRB and
OIRA receive them within 30 days of
the publication date.
1. Title and Purpose of information
collection: Certification of Termination
of Service and Relinquishment of
Rights; OMB 3220–0016.
Under Section 2(e)(2) of the Railroad
Retirement Act (RRA), an age and
service annuity, spouse annuity, or
divorced spouse annuity cannot be paid
unless the RRB has evidence that the
applicant has ceased railroad
employment and relinquished rights to
return to the service of a railroad
employer. The procedure pertaining to
the relinquishment of rights by an
annuity applicant is prescribed in 20
CFR 216.24. Under Section 2(f)(6) of the
RRA, earnings deductions are required
each month an annuitant works in
certain nonrailroad employment termed
Last Pre-Retirement Non-Railroad
Employment.
Normally, the employee, spouse, or
divorced spouse relinquishes rights and
certifies that employment has ended as
part of the annuity application process.
However, this is not always the case. In
limited circumstances, the RRB utilizes
Form G–88, Certification of Termination
of Service and Relinquishment of
Rights, to obtain an applicant’s report of
termination of employment and
relinquishment of rights. One response
is required of each respondent.
PO 00000
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Sfmt 4703
41313
Completion is required to obtain or
retain benefits.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (76 FR 24066 on April 29,
2011) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
Information Collection Request (ICR)
Title: Certification of Termination of
Service and Relinquishment of Rights.
OMB Control Number: 3220–0016.
Form(s) submitted: G–88.
Type of request: Extension without
change of a currently approved
collection.
Affected public: Individuals or
households.
Abstract: Under Section 2(e)(2) of the
Railroad Retirement Act, the Railroad
Retirement Board must have evidence
that an annuitant for an age and service,
spouse, or divorced spouse annuity has
ceased railroad employment and
relinquished their rights to return to the
service of a railroad employer. The
collection provides the means for
obtaining this evidence.
Changes proposed: The RRB proposes
no revisions to Form G–88.
The burden estimate for the ICR is as
follows:
Estimated Completion Time for Form
G–88 is estimated at 6 minutes.
Estimated annual number of
respondents: 3,600.
Total annual responses: 3,600.
Total annual reporting hours: 360.
2. Title and Purpose of information
collection: Statement of Authority to Act
for Employee; OMB 3220–0034.
Under Section 5(a) of the Railroad
Unemployment Insurance Act (RUIA),
claims for benefits are to be made in
accordance with such regulations as the
RRB shall prescribe. The provisions for
claiming sickness benefits as provided
by Section 2 of the RUIA are prescribed
in 20 CFR 335.2. Included in these
provisions is the RRB’s acceptance of
forms executed by someone else on
behalf of an employee if the RRB is
satisfied that the employee is sick or
injured to the extent of being unable to
sign forms.
The RRB utilizes Form SI–10,
Statement of Authority to Act for
Employee, to provide the means for an
individual to apply for authority to act
on behalf of an incapacitated employee
and also to obtain the information
necessary to determine that the
delegation should be made. Part I of the
form is completed by the applicant for
the authority and Part II is completed by
the employee’s doctor. One response is
requested of each respondent.
Completion is required to obtain
benefits.
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41314
Federal Register / Vol. 76, No. 134 / Wednesday, July 13, 2011 / Notices
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (76 FR 24066 on April 29,
2011) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
mstockstill on DSK4VPTVN1PROD with NOTICES
Information Collection Request (ICR)
Title: Statement of Authority to Act
for Employee.
OMB Control Number: 3220–0034.
Form(s) submitted: SI–10.
Type of request: Extension without
change of a currently approved
collection.
Affected public: Individuals or
households.
Abstract: Under 20 CFR 335.2, the
Railroad Retirement Board (RRB)
accepts claims for sickness benefits by
other than the sick or injured
employees, provided the RRB has the
information needed to satisfy itself that
the delegation should be made.
Changes proposed: The RRB proposes
no changes to Form SI–10.
The burden estimate for the ICR is as
follows:
Estimated Completion Time for Form
SI–10 is estimated at 6 minutes.
Estimated annual number of
respondents: 400.
Total annual responses: 400.
Total annual reporting hours: 40.
3. Title and Purpose of information
collection: Statement Regarding
Contributions and Support; OMB 3220–
0099.
Under Section 2 of the Railroad
Retirement Act, dependency on an
employee for one-half support at the
time of the employee’s death can affect
(1) entitlement to a survivor annuity
when the survivor is a parent of the
deceased employee; (2) the amount of
spouse and survivor annuities; and (3)
the Tier II restored amount payable to a
widow(er) whose annuity was reduced
for receipt of an employee annuity, and
who was dependent on the railroad
employee in the year prior to the
employee’s death. One-half support may
also negate the public service pension
offset in Tier I for a spouse or
widow(er). The Railroad Retirement
Board (RRB) utilizes Form G–134,
Statement Regarding Contributions and
Support, to secure information needed
to adequately determine if the applicant
meets the one-half support requirement.
One response is requested of each
respondent. Completion is required to
obtain benefits.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (76 FR 24066 on April 29,
2011) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
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Jkt 223001
Information Collection Request (ICR)
Title: Statement Regarding
Contributions and Support.
OMB Control Number: 3220–0099.
Form(s) submitted: G–134.
Type of request: Extension without
change of a currently approved
collection.
Affected public: Individuals or
households.
Abstract: Dependency on the
employee for one-half support at the
time of the employee’s death can be a
condition affecting eligibility for a
survivor annuity provided for under
Section 2 of the Railroad Retirement
Act. One-half support is also a condition
which may negate the public service
pension offset in Tier I for a spouse or
widow(er).
Changes proposed: The RRB proposes
no revisions to Form G–134.
The burden estimate for the ICR is as
follows:
Estimated Completion Time for Form
G–134 is estimated at 147 minutes with
assistance to 180 minutes without
assistance.
Estimated annual number of
respondents: 100.
Total annual responses: 100.
Total annual reporting hours: 259.
Additional Information or Comments:
Copies of the forms and supporting
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
Patricia Henaghan, Railroad Retirement
Board, 844 North Rush Street, Chicago,
Illinois, 60611–2092 or
Patricia.Henaghan@RRB.GOV and to
the OMB Desk Officer for the RRB, Fax:
202–395–6974, E-mail address:
OIRA_Submission@omb.eop.gov.
Charles Mierzwa,
Clearance Officer.
[FR Doc. 2011–17644 Filed 7–12–11; 8:45 am]
BILLING CODE 7905–01–P
SECURITIES AND EXCHANGE
COMMISSION
Proposed Collection; Comment
Request
Upon Written Request, Copies Available
From: U.S. Securities and Exchange
Commission, Office of Investor
Education and Advocacy,
Washington, DC 20549–0213.
Extension:
Rule 10b–17; SEC File No. 270–427; OMB
Control No. 3235–0476.
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Frm 00129
Fmt 4703
Sfmt 4703
Notice is hereby given that pursuant
to the Paperwork Reduction Act of 1995
(44 U.S.C. 3501 et seq.), the Securities
and Exchange Commission
(‘‘Commission’’) is soliciting comments
on the collection of information
summarized below. The Commission
plans to submit this existing collection
of information to the Office of
Management and Budget for extension
and approval for Rule 10b–17 (17 CFR
240.10b–17)—Untimely
Announcements of Record Dates.
Rule 10b–17 requires any issuer of a
class of securities publicly traded by the
use of any means or instrumentality of
interstate commerce or of the mails or
of any facility of any national securities
exchange to give notice of the following
specific distributions relating to such
class of securities: (1) A dividend or
other distribution in cash or in kind
other than interest payments on debt
securities; (2) a stock split or reverse
stock split; or (3) a rights or other
subscription offering.
There are approximately 10,137
respondents per year. These
respondents make approximately 22,093
responses per year. Each response takes
approximately 10 minutes to complete.
Thus, the total compliance burden per
year is 3,682 burden hours. The total
internal labor cost for the respondents,
associated with producing and filing the
reports, is approximately $238,188.58.
Written comments are invited on: (a)
Whether the proposed collection of
information is necessary for the proper
performance of the functions of the
Commission, including whether the
information shall have practical utility;
(b) the accuracy of the Commission’s
estimates of the burden of the proposed
collection of information; (c) ways to
enhance the quality, utility, and clarity
of the information to be collected; and
(d) ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
other forms of information technology.
Consideration will be given to
comments and suggestions submitted in
writing within 60 days of this
publication.
The Commission may not conduct or
sponsor a collection of information
unless it displays a currently valid
control number. No person shall be
subject to any penalty for failing to
comply with a collection of information
subject to the PRA that does not display
a valid Office of Management and
Budget (OMB) control number.
Please direct your written comments
to: Thomas Bayer, Director/Chief
Information Officer, Securities and
Exchange Commission, c/o Remi Pavlik-
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]]>Agencies
[Federal Register Volume 76, Number 134 (Wednesday, July 13, 2011)]
[Notices]
[Pages 41313-41314]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-17644]
=======================================================================
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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
three 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 the
RRB or OIRA must contain the OMB control number of the ICR. For proper
consideration of your comments, it is best if the RRB and OIRA receive
them within 30 days of the publication date.
1. Title and Purpose of information collection: Certification of
Termination of Service and Relinquishment of Rights; OMB 3220-0016.
Under Section 2(e)(2) of the Railroad Retirement Act (RRA), an age
and service annuity, spouse annuity, or divorced spouse annuity cannot
be paid unless the RRB has evidence that the applicant has ceased
railroad employment and relinquished rights to return to the service of
a railroad employer. The procedure pertaining to the relinquishment of
rights by an annuity applicant is prescribed in 20 CFR 216.24. Under
Section 2(f)(6) of the RRA, earnings deductions are required each month
an annuitant works in certain nonrailroad employment termed Last Pre-
Retirement Non-Railroad Employment.
Normally, the employee, spouse, or divorced spouse relinquishes
rights and certifies that employment has ended as part of the annuity
application process. However, this is not always the case. In limited
circumstances, the RRB utilizes Form G-88, Certification of Termination
of Service and Relinquishment of Rights, to obtain an applicant's
report of termination of employment and relinquishment of rights. One
response is required of each respondent. Completion is required to
obtain or retain benefits.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (76 FR 24066 on April 29, 2011) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Certification of Termination of Service and Relinquishment
of Rights.
OMB Control Number: 3220-0016.
Form(s) submitted: G-88.
Type of request: Extension without change of a currently approved
collection.
Affected public: Individuals or households.
Abstract: Under Section 2(e)(2) of the Railroad Retirement Act, the
Railroad Retirement Board must have evidence that an annuitant for an
age and service, spouse, or divorced spouse annuity has ceased railroad
employment and relinquished their rights to return to the service of a
railroad employer. The collection provides the means for obtaining this
evidence.
Changes proposed: The RRB proposes no revisions to Form G-88.
The burden estimate for the ICR is as follows:
Estimated Completion Time for Form G-88 is estimated at 6 minutes.
Estimated annual number of respondents: 3,600.
Total annual responses: 3,600.
Total annual reporting hours: 360.
2. Title and Purpose of information collection: Statement of
Authority to Act for Employee; OMB 3220-0034.
Under Section 5(a) of the Railroad Unemployment Insurance Act
(RUIA), claims for benefits are to be made in accordance with such
regulations as the RRB shall prescribe. The provisions for claiming
sickness benefits as provided by Section 2 of the RUIA are prescribed
in 20 CFR 335.2. Included in these provisions is the RRB's acceptance
of forms executed by someone else on behalf of an employee if the RRB
is satisfied that the employee is sick or injured to the extent of
being unable to sign forms.
The RRB utilizes Form SI-10, Statement of Authority to Act for
Employee, to provide the means for an individual to apply for authority
to act on behalf of an incapacitated employee and also to obtain the
information necessary to determine that the delegation should be made.
Part I of the form is completed by the applicant for the authority and
Part II is completed by the employee's doctor. One response is
requested of each respondent. Completion is required to obtain
benefits.
[[Page 41314]]
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (76 FR 24066 on April 29, 2011) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Statement of Authority to Act for Employee.
OMB Control Number: 3220-0034.
Form(s) submitted: SI-10.
Type of request: Extension without change of a currently approved
collection.
Affected public: Individuals or households.
Abstract: Under 20 CFR 335.2, the Railroad Retirement Board (RRB)
accepts claims for sickness benefits by other than the sick or injured
employees, provided the RRB has the information needed to satisfy
itself that the delegation should be made.
Changes proposed: The RRB proposes no changes to Form SI-10.
The burden estimate for the ICR is as follows:
Estimated Completion Time for Form SI-10 is estimated at 6 minutes.
Estimated annual number of respondents: 400.
Total annual responses: 400.
Total annual reporting hours: 40.
3. Title and Purpose of information collection: Statement Regarding
Contributions and Support; OMB 3220-0099.
Under Section 2 of the Railroad Retirement Act, dependency on an
employee for one-half support at the time of the employee's death can
affect (1) entitlement to a survivor annuity when the survivor is a
parent of the deceased employee; (2) the amount of spouse and survivor
annuities; and (3) the Tier II restored amount payable to a widow(er)
whose annuity was reduced for receipt of an employee annuity, and who
was dependent on the railroad employee in the year prior to the
employee's death. One-half support may also negate the public service
pension offset in Tier I for a spouse or widow(er). The Railroad
Retirement Board (RRB) utilizes Form G-134, Statement Regarding
Contributions and Support, to secure information needed to adequately
determine if the applicant meets the one-half support requirement. One
response is requested of each respondent. Completion is required to
obtain benefits.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (76 FR 24066 on April 29, 2011) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Statement Regarding Contributions and Support.
OMB Control Number: 3220-0099.
Form(s) submitted: G-134.
Type of request: Extension without change of a currently approved
collection.
Affected public: Individuals or households.
Abstract: Dependency on the employee for one-half support at the
time of the employee's death can be a condition affecting eligibility
for a survivor annuity provided for under Section 2 of the Railroad
Retirement Act. One-half support is also a condition which may negate
the public service pension offset in Tier I for a spouse or widow(er).
Changes proposed: The RRB proposes no revisions to Form G-134.
The burden estimate for the ICR is as follows:
Estimated Completion Time for Form G-134 is estimated at 147
minutes with assistance to 180 minutes without assistance.
Estimated annual number of respondents: 100.
Total annual responses: 100.
Total annual reporting hours: 259.
Additional Information or Comments: Copies of the forms and
supporting 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 Patricia Henaghan, Railroad Retirement Board, 844 North Rush Street,
Chicago, Illinois, 60611-2092 or Patricia.Henaghan@RRB.GOV and to the
OMB Desk Officer for the RRB, Fax: 202-395-6974, E-mail address: OIRA_Submission@omb.eop.gov.
Charles Mierzwa,
Clearance Officer.
[FR Doc. 2011-17644 Filed 7-12-11; 8:45 am]
BILLING CODE 7905-01-P
