Proposed Collection; Comment Request, 52025-52026 [2011-21219]
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Federal Register / Vol. 76, No. 161 / Friday, August 19, 2011 / Notices
By the Commission.
Shoshana M. Grove,
Secretary.
PROCEDURAL SCHEDULE
August 12,
2011.
August 29,
2011.
August 29,
2011.
September 9,
2011.
September 16,
2011.
October 6,
2011.
October 21,
2011.
October 28,
2011.
December 6,
2011.
Filing of Appeal.
Deadline for the Postal Service to file the applicable
administrative record in
this appeal.
Deadline for the Postal Service to file any responsive
pleading.
Deadline for notices to intervene (see 39 CFR
3001.111(b)).
Deadline for Petitioner’s
Form 61 or initial brief in
support of petition (see 39
CFR 3001.115(a) and (b)).
Deadline for answering brief
in support of the Postal
Service (see 39 CFR
3001.115(c)).
Deadline for reply briefs in
response to answering
briefs (see 39 CFR
3001.115(d)).
Deadline for motions by any
party requesting oral argument; the Commission will
schedule oral argument
only when it is a necessary addition to the written filings (see 39 CFR
3001.116).
Expiration of the Commission’s 120-day decisional
schedule (see 39 U.S.C.
404(d)(5)).
[FR Doc. 2011–21211 Filed 8–18–11; 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.
1. Title and purpose of information
collection: Medical Reports; OMB 3220–
0038
Under sections 2(a)(1)(iv) and
2(a)(1)(v) of the Railroad Retirement Act
(RRA), annuities are payable to qualified
railroad employees whose physical or
mental condition makes them unable to
(1) work in their regular occupation
(occupational disability) or (2) work at
all (permanent total disability). The
requirements for establishing disability
and proof of continuing disability under
the RRA are prescribed in 20 CFR 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(er)s, respectively, who have a
qualifying child who became disabled
before age 22. Annuities are also
payable to surviving children on the
basis of disability under section
2(d)(1)(iii)(C) if the child’s disability
began before age 22 as well as to
widow(er)s on the basis of disability
under section 2(d)(1)(i)(B). To meet the
disability standard, the RRA provides
that individuals must have a permanent
Form Number
Annual Responses
jlentini on DSK4TPTVN1PROD with NOTICES
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
widow(er)s and surviving divorced
spouses on the basis of, among other
things, disability or having a qualifying
disabled child in care. However, the
disability standard in these cases is that
found in the Social Security Act. That
is, individuals must be unable to engage
in any substantial gainful activity by
reason of any medically determinable
physical or mental impairment. The
RRB also determines entitlement to a
Period of Disability and entitlement to
early Medicare based on disability for
qualified claimants in accordance with
section 216 of the Social Security Act.
When making disability
determinations, the RRB needs evidence
from acceptable medical sources. The
RRB currently utilizes Forms G–3EMP,
Report of Medical Condition by
Employer; G–197, Authorization to
Release Medical Information to the
Railroad Retirement Board; G–250,
Medical Assessment; G–250A, Medical
Assessment of Residual Functional
Capacity; G–260, Report of Seizure
Disorder; RL–11B, Disclosure of
Hospital Medical Records; RL–11D,
Disclosure of Medical Records from a
State Agency; and RL–250, Request for
Medical Assessment, to obtain the
necessary medical evidence.
One response is requested of each
respondent. Completion is voluntary.
The RRB proposes minor editorial
changes to Form G–197.
Estimate of Annual Respondent Burden
The estimated annual respondent
burden is as follows:
Time (Minutes)
G–3EMP ........................................................
G–197 ............................................................
G–250 ............................................................
G–250A ..........................................................
G–260 ............................................................
RL–11B ..........................................................
RL–11D ..........................................................
RL–250 ..........................................................
600
6,000
11,950
50
100
5,000
250
11,950
Total ........................................................
Burden (Hours)
35,900
2. Title and purpose of information
collection: Student Beneficiary
Monitoring; OMB 3220–0123
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18:32 Aug 18, 2011
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10
30
20
25
10
10
10
Frm 00094
Fmt 4703
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100
1,000
5,975
17
42
833
42
1,992
10,001
Under provisions of the Railroad
Retirement Act (RRA), there are two
types of benefit payments that are based
on the status of a child being in full-
PO 00000
52025
time elementary or secondary school
attendance at age 18–19: a survivor
child’s annuity benefit under Section
2(d)(2)(iii) and an increase in the
E:\FR\FM\19AUN1.SGM
19AUN1
52026
Federal Register / Vol. 76, No. 161 / Friday, August 19, 2011 / Notices
employee retirement annuity under the
Special Guaranty computation as
prescribed in section 3(f)(3) and 20 CFR
part 229.
The survivor student annuity is
usually paid by direct deposit to a
financial institution either into the
student’s checking or savings account or
into a joint bank account with a parent.
The requirements for eligibility as a
student are prescribed in 20 CFR 216.74,
and include students in independent
study and home schooling.
To help determine if a child is
entitled to student benefits, the RRB
requires evidence of full-time school
attendance. This evidence is acquired
through the RRB’s student monitoring
program, which utilizes the following
forms. Form G–315, Student
Questionnaire, obtains certification of a
student’s full-time school attendance as
well as information on the student’s
marital status, Social Security benefits,
and employment, which are needed to
determine entitlement or continued
entitlement to benefits under the RRA.
Form G–315A, Statement of School
Official, is used to obtain, from a school,
Form Number
Annual Responses
Estimate of Annual Respondent Burden
The estimated annual respondent
burden is as follows:
Time (Minutes)
G–315 ............................................................
G–315a ..........................................................
G–315a.1 .......................................................
860
20
20
Total ........................................................
Burden (Hours)
900
Additional Information or Comments:
To request more information or to
obtain a copy of the information
collection justification, forms, and/or
supporting material, contact Charles
Mierzwa, the RRB 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 e-mailed to
Patricia.Henaghan@RRB.GOV. Written
comments should be received within 60
days of this notice.
Charles Mierzwa,
Clearance Officer.
[FR Doc. 2011–21219 Filed 8–18–11; 8:45 am]
BILLING CODE 7905–01–P
RAILROAD RETIREMENT BOARD
Agency Forms Submitted for OMB
Review, Request for Comments
jlentini on DSK4TPTVN1PROD with NOTICES
verification of a student’s full-time
attendance when the student fails to
return a monitoring Form G–315. Form
G–315A.1, School Official’s Notice of
Cessation of Full-Time School
Attendance, is used by a school to notify
the RRB that a student has ceased fulltime school attendance. The RRB
proposes no changes to the forms.
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)
VerDate Mar<15>2010
18:32 Aug 18, 2011
Jkt 223001
15
3
2
217
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: Application for
Reimbursement for Hospital Insurance
Services in Canada; OMB 3220–0086.
Under section 7(d) of the Railroad
Retirement Act (RRA), the RRB
administers the Medicare program for
persons covered by the railroad
retirement system. Payments are
provided under section 7(d)(4) of the
RRA for medical services furnished in
Canada to the same extent as for those
furnished in the United States.
However, payments for the services
furnished in Canada are made from the
Railroad Retirement Account rather
than from the Federal Hospital
Insurance Trust Fund, with the
payments limited to the amount by
which insurance benefits under
Medicare exceed the amount payable
under Canadian Provincial plans.
Form AA–104, Application for
Canadian Hospital Benefits Under
Medicare—Part A, is provided by the
RRB to a claimant seeking
reimbursement for covered hospital
services received in Canada. The form
obtains information needed to
determine the eligibility of the applicant
and the amount of any reimbursement
PO 00000
Frm 00095
Fmt 4703
Sfmt 4703
215
1
1
due. One response is requested of each
respondent. Completion is required to
obtain a benefit.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (76 FR 29282 on May 20,
2011) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
Information Collection Request (ICR)
Title: Application for Reimbursement
for Hospital Insurance Services in
Canada
OMB Control Number: 3220–0086
Form(s) submitted: AA–104
Type of request: Revision of a
currently approved collection
Affected public: Individuals or
Households
Abstract: The Railroad Retirement
Board administers the Medicare
program for persons covered by the
railroad retirement system. The
collection obtains the information
needed to determine eligibility and for
the amount due for covered hospital
services received in Canada.
Changes proposed: The RRB proposes
non-burden impacting formatting and
editorial changes to Form AA–104.
The burden estimate for the ICR is as
follows:
Estimated Completion Time for Form
AA–104: 10 minutes
Estimated annual number of
respondents: 35
Total annual responses: 35
Total annual reporting hours: 6
2. Title and Purpose of information
collection: Employee Non-Covered
Service Pension Questionnaire; OMB
3220–0154.
Section 215(a)(7) of the Social
Security Act provides for a reduction in
social security benefits based on
E:\FR\FM\19AUN1.SGM
19AUN1
Agencies
[Federal Register Volume 76, Number 161 (Friday, August 19, 2011)]
[Notices]
[Pages 52025-52026]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-21219]
=======================================================================
-----------------------------------------------------------------------
RAILROAD RETIREMENT BOARD
Proposed Collection; Comment Request
Summary: In accordance with the requirement of section
3506(c)(2)(A) of the Paperwork Reduction Act of 1995 which provides
opportunity for public comment on new or revised data collections, the
Railroad Retirement Board (RRB) will publish periodic summaries of
proposed data collections.
Comments are invited on: (a) Whether the proposed information
collection is necessary for the proper performance of the functions of
the agency, including whether the information has practical utility;
(b) the accuracy of the RRB's estimate of the burden of the collection
of the information; (c) ways to enhance the quality, utility, and
clarity of the information to be collected; and (d) ways to minimize
the burden related to the collection of information on respondents,
including the use of automated collection techniques or other forms of
information technology.
1. Title and purpose of information collection: Medical Reports;
OMB 3220-0038
Under sections 2(a)(1)(iv) and 2(a)(1)(v) of the Railroad
Retirement Act (RRA), annuities are payable to qualified railroad
employees whose physical or mental condition makes them unable to (1)
work in their regular occupation (occupational disability) or (2) work
at all (permanent total disability). The requirements for establishing
disability and proof of continuing disability under the RRA are
prescribed in 20 CFR 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(er)s, respectively, who
have a qualifying child who became disabled before age 22. Annuities
are also payable to surviving children on the basis of disability under
section 2(d)(1)(iii)(C) if the child's disability began before age 22
as well as to widow(er)s on the basis of disability under section
2(d)(1)(i)(B). To meet the disability standard, the RRA provides that
individuals must have a permanent physical or mental condition 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 widow(er)s and surviving divorced spouses on the basis of,
among other things, disability or having a qualifying disabled child in
care. However, the disability standard in these cases is that found in
the Social Security Act. That is, individuals must be unable to engage
in any substantial gainful activity by reason of any medically
determinable physical or mental impairment. The RRB also determines
entitlement to a Period of Disability and entitlement to early Medicare
based on disability for qualified claimants in accordance with section
216 of the Social Security Act.
When making disability determinations, the RRB needs evidence from
acceptable medical sources. The RRB currently utilizes Forms G-3EMP,
Report of Medical Condition by Employer; G-197, Authorization to
Release Medical Information to the Railroad Retirement Board; G-250,
Medical Assessment; G-250A, Medical Assessment of Residual Functional
Capacity; G-260, Report of Seizure Disorder; RL-11B, Disclosure of
Hospital Medical Records; RL-11D, Disclosure of Medical Records from a
State Agency; and RL-250, Request for Medical Assessment, to obtain the
necessary medical evidence.
One response is requested of each respondent. Completion is
voluntary. The RRB proposes minor editorial changes to Form G-197.
Estimate of Annual Respondent Burden
The estimated annual respondent burden is as follows:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Form Number Annual Responses Time (Minutes) 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-11D........................................................ 250 10 42
RL-250........................................................ 11,950 10 1,992
-----------------------------------------------------------------------------------------
Total..................................................... 35,900 ............................ 10,001
--------------------------------------------------------------------------------------------------------------------------------------------------------
2. Title and purpose of information collection: Student Beneficiary
Monitoring; OMB 3220-0123
Under provisions of the Railroad Retirement Act (RRA), there are
two types of benefit payments that are based on the status of a child
being in full-time elementary or secondary school attendance at age 18-
19: a survivor child's annuity benefit under Section 2(d)(2)(iii) and
an increase in the
[[Page 52026]]
employee retirement annuity under the Special Guaranty computation as
prescribed in section 3(f)(3) and 20 CFR part 229.
The survivor student annuity is usually paid by direct deposit to a
financial institution either into the student's checking or savings
account or into a joint bank account with a parent. The requirements
for eligibility as a student are prescribed in 20 CFR 216.74, and
include students in independent study and home schooling.
To help determine if a child is entitled to student benefits, the
RRB requires evidence of full-time school attendance. This evidence is
acquired through the RRB's student monitoring program, which utilizes
the following forms. Form G-315, Student Questionnaire, obtains
certification of a student's full-time school attendance as well as
information on the student's marital status, Social Security benefits,
and employment, which are needed to determine entitlement or continued
entitlement to benefits under the RRA. Form G-315A, Statement of School
Official, is used to obtain, from a school, verification of a student's
full-time attendance when the student fails to return a monitoring Form
G-315. Form G-315A.1, School Official's Notice of Cessation of Full-
Time School Attendance, is used by a school to notify the RRB that a
student has ceased full-time school attendance. The RRB proposes no
changes to the forms.
Estimate of Annual Respondent Burden
The estimated annual respondent burden is as follows:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Form Number Annual Responses Time (Minutes) Burden (Hours)
--------------------------------------------------------------------------------------------------------------------------------------------------------
G-315......................................................... 860 15 215
G-315a........................................................ 20 3 1
G-315a.1...................................................... 20 2 1
-----------------------------------------------------------------------------------------
Total..................................................... 900 ............................ 217
--------------------------------------------------------------------------------------------------------------------------------------------------------
Additional Information or Comments: To request more information or
to obtain a copy of the information collection justification, forms,
and/or supporting material, contact Charles Mierzwa, the RRB 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 e-mailed to Patricia.Henaghan@RRB.GOV. Written
comments should be received within 60 days of this notice.
Charles Mierzwa,
Clearance Officer.
[FR Doc. 2011-21219 Filed 8-18-11; 8:45 am]
BILLING CODE 7905-01-P