Proposed Collection; Comment Request, 1093-1095 [2012-190]

Download as PDF 1093 Federal Register / Vol. 77, No. 5 / Monday, January 9, 2012 / Notices PROCEDURAL SCHEDULE—Continued January 5, 2012 ........................................ January 25, 2012 ...................................... February 9, 2012 ...................................... February 16, 2012 .................................... March 23, 2012 ......................................... Deadline for Petitioners’ 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. 2012–90 Filed 1–6–12; 8:45 am] BILLING CODE 7710–FW–P RAILROAD RETIREMENT BOARD Proposed Collection; Comment Request 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: Application for Employee Annuity Under the Railroad Retirement Act; OMB 3220–0002. Section 2a of the Railroad Retirement Act (RRA) provides for payments of age and service, disability, and supplemental annuities to qualified employees. An annuity cannot be paid until the employee stops working for a railroad employer. In addition, the age and service employee must relinquish any rights held to such jobs. A disabled employee does not need to relinquish employee rights until attaining Full Retirement Age, or if earlier, when their SUMMARY: spouse files for a spouse annuity. Benefits become payable after the employee meets certain other requirements, which depend on the type of annuity payable. The requirements for obtaining the annuities are prescribed in 20 CFR parts 216 and 220. To collect the information needed to help determine an applicant’s entitlement to, and the amount of, an employee retirement annuity the RRB uses Forms AA–1, Application for Employee Annuity; AA–1d, Application for Determination of Employee Disability; G–204, Verification of Workers Compensation/Public Disability Benefit Information and electronic Form AA–1cert, Application Summary and Certification. The AA–1 application process obtains information from an applicant about their marital history, work history, military service, benefits from other governmental agencies, railroad pensions and Medicare entitlement for either an age and service or disability annuity. An RRB representative interviews the applicant either at a field office (preferred), an itinerant point, or by telephone. During the interview, the RRB representative enters the information obtained into an on-line information system. Upon completion of the interview, the on-line information system generates, for the applicant’s review and traditional pen and ink ‘‘wet’’ signature, Form AA–1cert, Application Summary and Certification, which summarizes the information that was provided or verified by the applicant. When the RRB representative is unable to contact the applicant in person or by telephone, for example, the applicant lives in another country, a manual version of Form AA–1 is used. Form AA–1d, Application for Determination of Employee’s Disability, is completed by an employee who is filing for a disability annuity under the RRA, or a disability freeze under the Social Security Act, for early Medicare based on a disability. Form G–204, Verification of Worker’s Compensation/ Public Disability Benefit Information, is used to obtain and verify information concerning a worker’s compensation or a public disability benefit that is or will be paid by a public agency to a disabled railroad employee. The RRB proposes no changes to Forms AA–1d or G–204. Consistent with 20 CFR 217.17, upon completion of the AA–1 interview process, the RRB proposes to provide, in addition to the current Form AA–1cert pen and ink ‘‘wet’’ signature, an alternate signing method called ‘‘Attestation,’’ which will be documented by new form AA–1sum. Attestation refers to an action taken by the RRB representative to confirm and annotate in the RRB records (1) the applicant’s intent to file an application; (2) the applicant’s affirmation under penalty of perjury that the information provided is correct; and (3) the applicant’s agreement to sign the application by proxy. The information collected as part of the AA–1 interview process will be the same irrespective of whether the application is signed by a pen and ink ‘‘wet’’ signature or by attestation. The only difference will be the method of signature. In addition, consistent with Department of Treasury guidelines, the RRB proposes revisions to Forms AA–1 and AA–1cert to provide claimants a Direct Express® Master Card® Debit Card payment option. Other nonburden-impacting editorial and formatting changes are proposed. One response is requested of each respondent. Completion of the forms is required to obtain a benefit. tkelley on DSK3SPTVN1PROD with NOTICES ESTIMATE OF ANNUAL RESPONDENT BURDEN [The estimated annual respondent burden is as follows] Annual responses Form No. AA–1 (without assistance) ........................................................................................................... AA–1cert (with assistance) .......................................................................................................... AA–1sum (with assistance) ......................................................................................................... AA–1d (with assistance) .............................................................................................................. VerDate Mar<15>2010 16:26 Jan 06, 2012 Jkt 226001 PO 00000 Frm 00045 Fmt 4703 Sfmt 4703 E:\FR\FM\09JAN1.SGM 100 4,900 9,100 3,700 09JAN1 Time (minutes) Burden (hours) 62 30 29 35 103 2,450 4,398 2,158 1094 Federal Register / Vol. 77, No. 5 / Monday, January 9, 2012 / Notices ESTIMATE OF ANNUAL RESPONDENT BURDEN—Continued [The estimated annual respondent burden is as follows] Annual responses Form No. Time (minutes) Burden (hours) AA–1d (without assistance) ......................................................................................................... G–204 .......................................................................................................................................... 5 20 60 15 5 5 Total ...................................................................................................................................... 17,825 ........................ 9,119 2. Title and purpose of information collection: Application for Survivor Insurance Annuities; OMB 3220–0030. 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 spouses, mothers (fathers), remarried widow(er)s, and grandchildren of deceased railroad employees if there are no qualified survivors of the employee immediately eligible for an annuity. The requirements relating to the annuities are prescribed in 20 CFR 216, 217, 218, and 219. To collect the information needed to help determine an applicant’s entitlement to, and the amount of, a survivor annuity the RRB uses Forms AA–17, Application for Widow(er)’s Annuity; AA–17b, Applications for Determination of Widow(er)’s Disability; 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’s Disability; AA–20, Application for Parent’s Annuity, and electronic Form AA–17cert, Application Summary and Certification. The AA–17 application process obtains information from an applicant about their marital history, work history, benefits from other government agencies, and Medicare entitlement for a survivor annuity. An RRB representative interviews the applicant either at a field office (preferred), an itinerant point, or by telephone. During the interview, the RRB representative enters the information obtained into an on-line information system. Upon completion of the interview, the system generates, for the applicant’s review and traditional pen and ink ‘‘wet’’ signature, Form AA–17cert, Application Summary and Certification, which is a summary of the information that the applicant provided or verified. When the RRB representative is unable to contact the applicant in person or by telephone, for example, the applicant lives in another country, a manual version of Form AA– 17 is used. Consistent with 20 CFR 217.17, upon completion of the AA–17 interview process, the RRB proposes to provide, in addition to the current Form AA–17cert pen and ink ‘‘wet’’ signature, an alternate signing method called ‘‘Attestation,’’ which will be documented by new form AA–17sum. Attestation refers to an action taken by the RRB representative to confirm and annotate in the RRB records (1) the applicant’s intent to file an application; (2) the applicant’s affirmation under penalty of perjury that the information provided is correct; and (3) the applicant’s agreement to sign the application by proxy. The information collected as part of the AA–17 interview process will be the same irrespective of whether the application is signed by a pen and ink ‘‘wet’’ signature or by attestation. The only difference will be the method of signature. In addition, consistent with Department of Treasury guidelines, the RRB proposes revisions to Forms AA– 17, AA–17cert, AA–18, AA–19, and AA–20 cert to provide claimants a Direct Express® Master Card® Debit Card payment option. Other nonburden-impacting editorial and formatting changes are proposed. No changes are proposed to Forms AA–17b and AA–19a. One response is requested of each respondent. Completion of the forms is required to obtain a benefit. ESTIMATE OF ANNUAL RESPONDENT BURDEN [The estimated annual respondent burden is as follows] Annual responses Form No. Time (minutes) Burden (hours) 100 280 20 900 2,100 12 9 285 15 1 47 40 50 20 19 47 47 45 65 47 78 187 17 300 665 9 7 214 16 1 Total ...................................................................................................................................... tkelley on DSK3SPTVN1PROD with NOTICES AA–17 (without assistance) ......................................................................................................... AA–17b (with assistance) ............................................................................................................ AA–17b (without assistance) ....................................................................................................... AA–17cert (with assistance) ........................................................................................................ AA–17sum (with assistance) ....................................................................................................... AA–18 (without assistance) ......................................................................................................... AA–19 (without assistance) ......................................................................................................... AA–19a (with assistance) ............................................................................................................ AA–19a (without assistance) ....................................................................................................... AA–20 (without assistance) ......................................................................................................... 3,722 ........................ 1,494 3. Title and purpose of information collection: Application for Spouse Annuity Under the Railroad Retirement Act; OMB 3220–0042. Section 2(c) of the Railroad Retirement Act (RRA), provides for the VerDate Mar<15>2010 16:26 Jan 06, 2012 Jkt 226001 payment of annuities to spouses of railroad retirement annuitants who meet the requirements under the RRA. The age requirements for a spouse annuity depend on the employee’s age, date of retirement, and years of railroad service. PO 00000 Frm 00046 Fmt 4703 Sfmt 4703 The requirements relating to the annuities are prescribed in 20 CFR parts 216, 218, 219, 232, 234, and 295. To collect the information needed to help determine an applicant’s entitlement to, and the amount of, a E:\FR\FM\09JAN1.SGM 09JAN1 1095 Federal Register / Vol. 77, No. 5 / Monday, January 9, 2012 / Notices spouse annuity the RRB uses Form AA– 3, Application for Spouse/Divorced Spouse Annuity, and electronic Form AA–3cert, Application Summary and Certification. The AA–3 application process gathers information from an applicant about their marital history, work history, benefits from other government agencies, railroad pensions and Medicare entitlement for a spouse annuity. An RRB representative interviews the applicant either at a field office (preferred), an itinerant point, or by telephone. During the interview, the RRB representative enters the information obtained into an on-line information system. Upon completion of the interview, the system generates, for the applicant’s review and traditional pen and ink ‘‘wet’’ signature, Form AA– 3cert, Application Summary and Certification, which is a summary of the information that the applicant provided or verified. When the RRB representative is unable to contact the applicant in person or by telephone, for example, the applicant lives in another country, a manual version of Form AA– 3 is used. Consistent with 20 CFR 217.17, upon completion of the AA–3 interview process, the RRB proposes to provide, in addition to the current Form AA–3cert pen and ink ‘‘wet’’ signature, an alternate signing method called ‘‘Attestation,’’ which will be documented by new Form AA–3sum. Attestation refers to an action taken by the RRB representative to confirm and annotate in the RRB records (1) the applicant’s intent to file an application; (2) the applicant’s affirmation under penalty of perjury that the information provided is correct; and (3) the applicant’s agreement to sign the application by proxy. The information collected as part of the AA–3 interview process will be the same irrespective of whether the application is signed by a pen and ink ‘‘wet’’ signature or by attestation. The only difference will be the method of signature. In addition, consistent with Department of Treasury guidelines, the RRB proposes revisions to Forms AA–3 and AA–3cert, to provide claimants a Direct Express® Master Card® Debit Card payment option. Other nonburden-impacting editorial and formatting changes are proposed. One response is requested of each respondent. Completion of the forms is required to obtain a benefit. ESTIMATE OF ANNUAL RESPONDENT BURDEN [The estimated annual respondent burden is as follows] Annual responses Form No. Time (minutes) Burden (hours) AA–3 (without assistance) ........................................................................................................... AA–3cert (with assistance) .......................................................................................................... AA–3sum (with assistance) ......................................................................................................... 250 3,700 7,100 58 30 29 242 1,850 3,432 Total ...................................................................................................................................... 11,050 ........................ 5,524 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 emailed to Patricia.Henaghan@RRB.GOV. Written comments should be received within 60 days of this notice. Charles Mierzwa, Clearance Officer. [FR Doc. 2012–190 Filed 1–6–12; 8:45 am] BILLING CODE 7905–01–P tkelley on DSK3SPTVN1PROD with NOTICES SECURITIES AND EXCHANGE COMMISSION Sunshine Act Meeting Notice is hereby given, pursuant to the provisions of the Government in the Sunshine Act, Public Law 94–409, that the Securities and Exchange Commission will hold an Open Meeting VerDate Mar<15>2010 16:26 Jan 06, 2012 Jkt 226001 on Wednesday, January 11, 2012 at 10 a.m., in the Auditorium, Room L–002. The subject matter of the Open Meeting will be: The Commission will consider whether to approve the 2012 budget of the Public Company Accounting Oversight Board and will consider the related annual accounting support fee for the Board under Section 109 of the Sarbanes-Oxley Act of 2002. Commissioner Paredes, as duty officer, determined that no earlier notice thereof was possible. At times, changes in Commission priorities require alterations in the scheduling of meeting items. For further information and to ascertain what, if any, matters have been added, deleted or postponed, please contact: The Office of the Secretary at (202) 551–5400. Dated: January 5, 2012. Elizabeth M. Murphy, Secretary. SECURITIES AND EXCHANGE COMMISSION [Release No. 34–66087; File No. SR–Phlx– 2011–182] Self-Regulatory Organizations; NASDAQ OMX PHLX LLC; Notice of Filing and Immediate Effectiveness of Proposed Rule Change Relating to the PHLX Market Exhaust Functionality January 3, 2012. Pursuant to Section 19(b)(1) of the Securities Exchange Act of 1934 (the ‘‘Act’’),1 and Rule 19b–4 thereunder,2 notice is hereby given that on December 22, 2011, NASDAQ OMX PHLX LLC (‘‘Phlx’’ or ‘‘Exchange’’) filed with the Securities and Exchange Commission (‘‘SEC’’ or ‘‘Commission’’) the proposed rule change as described in Items I, II, and III below, which Items have been prepared by the Exchange. The Commission is publishing this notice to solicit comments on the proposed rule change from interested persons. [FR Doc. 2012–282 Filed 1–5–12; 4:15 pm] BILLING CODE 8011–01–P PO 00000 1 15 2 17 Frm 00047 Fmt 4703 Sfmt 4703 E:\FR\FM\09JAN1.SGM U.S.C. 78s(b)(1). CFR 240.19b–4. 09JAN1

Agencies

Railroad Retirement Board

[Federal Register Volume 77, Number 5 (Monday, January 9, 2012)]
[Notices]
[Pages 1093-1095]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-190]

=======================================================================
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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: Application for
Employee Annuity Under the Railroad Retirement Act; OMB 3220-0002.
Section 2a of the Railroad Retirement Act (RRA) provides for
payments of age and service, disability, and supplemental annuities to
qualified employees. An annuity cannot be paid until the employee stops
working for a railroad employer. In addition, the age and service
employee must relinquish any rights held to such jobs. A disabled
employee does not need to relinquish employee rights until attaining
Full Retirement Age, or if earlier, when their spouse files for a
spouse annuity. Benefits become payable after the employee meets
certain other requirements, which depend on the type of annuity
payable. The requirements for obtaining the annuities are prescribed in
20 CFR parts 216 and 220.
To collect the information needed to help determine an applicant's
entitlement to, and the amount of, an employee retirement annuity the
RRB uses Forms AA-1, Application for Employee Annuity; AA-1d,
Application for Determination of Employee Disability; G-204,
Verification of Workers Compensation/Public Disability Benefit
Information and electronic Form AA-1cert, Application Summary and
Certification.
The AA-1 application process obtains information from an applicant
about their marital history, work history, military service, benefits
from other governmental agencies, railroad pensions and Medicare
entitlement for either an age and service or disability annuity. An RRB
representative interviews the applicant either at a field office
(preferred), an itinerant point, or by telephone. During the interview,
the RRB representative enters the information obtained into an on-line
information system. Upon completion of the interview, the on-line
information system generates, for the applicant's review and
traditional pen and ink ``wet'' signature, Form AA-1cert, Application
Summary and Certification, which summarizes the information that was
provided or verified by the applicant. When the RRB representative is
unable to contact the applicant in person or by telephone, for example,
the applicant lives in another country, a manual version of Form AA-1
is used.
Form AA-1d, Application for Determination of Employee's Disability,
is completed by an employee who is filing for a disability annuity
under the RRA, or a disability freeze under the Social Security Act,
for early Medicare based on a disability. Form G-204, Verification of
Worker's Compensation/Public Disability Benefit Information, is used to
obtain and verify information concerning a worker's compensation or a
public disability benefit that is or will be paid by a public agency to
a disabled railroad employee. The RRB proposes no changes to Forms AA-
1d or G-204.
Consistent with 20 CFR 217.17, upon completion of the AA-1
interview process, the RRB proposes to provide, in addition to the
current Form AA-1cert pen and ink ``wet'' signature, an alternate
signing method called ``Attestation,'' which will be documented by new
form AA-1sum. Attestation refers to an action taken by the RRB
representative to confirm and annotate in the RRB records (1) the
applicant's intent to file an application; (2) the applicant's
affirmation under penalty of perjury that the information provided is
correct; and (3) the applicant's agreement to sign the application by
proxy. The information collected as part of the AA-1 interview process
will be the same irrespective of whether the application is signed by a
pen and ink ``wet'' signature or by attestation. The only difference
will be the method of signature.
In addition, consistent with Department of Treasury guidelines, the
RRB proposes revisions to Forms AA-1 and AA-1cert to provide claimants
a Direct Express[reg] Master Card[reg] Debit Card payment option. Other
non-burden-impacting editorial and formatting changes are proposed. One
response is requested of each respondent. Completion of the forms is
required to obtain a benefit.

[[Page 1094]]

AA-1d (without assistance)...................................... 5 60 5
G-204........................................................... 20 15 5
=================
Total....................................................... 17,825 .............. 9,119
----------------------------------------------------------------------------------------------------------------

2. Title and purpose of information collection: Application for
Survivor Insurance Annuities; OMB 3220-0030.
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 spouses, mothers
(fathers), remarried widow(er)s, and grandchildren of deceased railroad
employees if there are no qualified survivors of the employee
immediately eligible for an annuity. The requirements relating to the
annuities are prescribed in 20 CFR 216, 217, 218, and 219.
To collect the information needed to help determine an applicant's
entitlement to, and the amount of, a survivor annuity the RRB uses
Forms AA-17, Application for Widow(er)'s Annuity; AA-17b, Applications
for Determination of Widow(er)'s Disability; 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's Disability;
AA-20, Application for Parent's Annuity, and electronic Form AA-17cert,
Application Summary and Certification.
The AA-17 application process obtains information from an applicant
about their marital history, work history, benefits from other
government agencies, and Medicare entitlement for a survivor annuity.
An RRB representative interviews the applicant either at a field office
(preferred), an itinerant point, or by telephone. During the interview,
the RRB representative enters the information obtained into an on-line
information system. Upon completion of the interview, the system
generates, for the applicant's review and traditional pen and ink
``wet'' signature, Form AA-17cert, Application Summary and
Certification, which is a summary of the information that the applicant
provided or verified. When the RRB representative is unable to contact
the applicant in person or by telephone, for example, the applicant
lives in another country, a manual version of Form AA-17 is used.
Consistent with 20 CFR 217.17, upon completion of the AA-17
interview process, the RRB proposes to provide, in addition to the
current Form AA-17cert pen and ink ``wet'' signature, an alternate
signing method called ``Attestation,'' which will be documented by new
form AA-17sum. Attestation refers to an action taken by the RRB
representative to confirm and annotate in the RRB records (1) the
applicant's intent to file an application; (2) the applicant's
affirmation under penalty of perjury that the information provided is
correct; and (3) the applicant's agreement to sign the application by
proxy. The information collected as part of the AA-17 interview process
will be the same irrespective of whether the application is signed by a
pen and ink ``wet'' signature or by attestation. The only difference
will be the method of signature.
In addition, consistent with Department of Treasury guidelines, the
RRB proposes revisions to Forms AA-17, AA-17cert, AA-18, AA-19, and AA-
20 cert to provide claimants a Direct Express[reg] Master Card[reg]
Debit Card payment option. Other non-burden-impacting editorial and
formatting changes are proposed. No changes are proposed to Forms AA-
17b and AA-19a. One response is requested of each respondent.
Completion of the forms is required to obtain a benefit.

Estimate of Annual Respondent Burden
[The estimated annual respondent burden is as follows]
----------------------------------------------------------------------------------------------------------------
Annual Time Burden
Form No. responses (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
AA-17 (without assistance)...................................... 100 47 78
AA-17b (with assistance)........................................ 280 40 187
AA-17b (without assistance)..................................... 20 50 17
AA-17cert (with assistance)..................................... 900 20 300
AA-17sum (with assistance)...................................... 2,100 19 665
AA-18 (without assistance)...................................... 12 47 9
AA-19 (without assistance)...................................... 9 47 7
AA-19a (with assistance)........................................ 285 45 214
AA-19a (without assistance)..................................... 15 65 16
AA-20 (without assistance)...................................... 1 47 1
-----------------------------------------------
Total....................................................... 3,722 .............. 1,494
----------------------------------------------------------------------------------------------------------------

3. Title and purpose of information collection: Application for
Spouse Annuity Under the Railroad Retirement Act; OMB 3220-0042.
Section 2(c) of the Railroad Retirement Act (RRA), provides for the
payment of annuities to spouses of railroad retirement annuitants who
meet the requirements under the RRA. The age requirements for a spouse
annuity depend on the employee's age, date of retirement, and years of
railroad service. The requirements relating to the annuities are
prescribed in 20 CFR parts 216, 218, 219, 232, 234, and 295.
To collect the information needed to help determine an applicant's
entitlement to, and the amount of, a

[[Page 1095]]

spouse annuity the RRB uses Form AA-3, Application for Spouse/Divorced
Spouse Annuity, and electronic Form AA-3cert, Application Summary and
Certification.
The AA-3 application process gathers information from an applicant
about their marital history, work history, benefits from other
government agencies, railroad pensions and Medicare entitlement for a
spouse annuity. An RRB representative interviews the applicant either
at a field office (preferred), an itinerant point, or by telephone.
During the interview, the RRB representative enters the information
obtained into an on-line information system. Upon completion of the
interview, the system generates, for the applicant's review and
traditional pen and ink ``wet'' signature, Form AA-3cert, Application
Summary and Certification, which is a summary of the information that
the applicant provided or verified. When the RRB representative is
unable to contact the applicant in person or by telephone, for example,
the applicant lives in another country, a manual version of Form AA-3
is used.
Consistent with 20 CFR 217.17, upon completion of the AA-3
interview process, the RRB proposes to provide, in addition to the
current Form AA-3cert pen and ink ``wet'' signature, an alternate
signing method called ``Attestation,'' which will be documented by new
Form AA-3sum. Attestation refers to an action taken by the RRB
representative to confirm and annotate in the RRB records (1) the
applicant's intent to file an application; (2) the applicant's
affirmation under penalty of perjury that the information provided is
correct; and (3) the applicant's agreement to sign the application by
proxy. The information collected as part of the AA-3 interview process
will be the same irrespective of whether the application is signed by a
pen and ink ``wet'' signature or by attestation. The only difference
will be the method of signature.
In addition, consistent with Department of Treasury guidelines, the
RRB proposes revisions to Forms AA-3 and AA-3cert, to provide claimants
a Direct Express[supreg] Master Card[supreg] Debit Card payment option.
Other non-burden-impacting editorial and formatting changes are
proposed. One response is requested of each respondent. Completion of
the forms is required to obtain a benefit.

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 emailed to Patricia.Henaghan@RRB.GOV. Written
comments should be received within 60 days of this notice.

Charles Mierzwa,
Clearance Officer.
[FR Doc. 2012-190 Filed 1-6-12; 8:45 am]
BILLING CODE 7905-01-P

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