Agency Forms Submitted for OMB Review, Request for Comments, 41313-41314 [2011-17644]

Download as PDF 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 VerDate Mar<15>2010 17:36 Jul 12, 2011 Jkt 223001 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 Frm 00128 Fmt 4703 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. E:\FR\FM\13JYN1.SGM 13JYN1 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. VerDate Mar<15>2010 17:36 Jul 12, 2011 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. PO 00000 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- E:\FR\FM\13JYN1.SGM 13JYN1

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