Proposed Collection; Comment Request, 52025-52026 [2011-21219]

Download as PDF 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 VerDate Mar<15>2010 18:32 Aug 18, 2011 Jkt 223001 10 10 30 20 25 10 10 10 Frm 00094 Fmt 4703 Sfmt 4703 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]


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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