Agency Forms Submitted for OMB Review, Request for Comments, 44698 [2012-18339]
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44698
Federal Register / Vol. 77, No. 146 / Monday, July 30, 2012 / Notices
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
an Information Collection Request (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 collection of information to
determine (1) the practical utility of the
collection; (2) the accuracy of the
estimated burden of the collection; (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.
Under Section 6 of the Railroad
Retirement Act (RRA), lump-sum death
benefits are payable to surviving
widow(er)s, children, and certain other
dependents. Lump-sum death benefits
are payable after the death of a railroad
employee only if there are no qualified
survivors of the employee immediately
eligible for annuities. With the
exception of the residual death benefit,
eligibility for survivor benefits depends
on whether the deceased employee was
‘‘insured’’ under the RRA at the time of
death. If the deceased employee was not
insured, jurisdiction of any survivor
benefits payable is transferred to the
Social Security Administration and
survivor benefits are paid by that agency
instead of the RRB. The requirements
for applying for benefits are prescribed
in 20 CFR 217, 219, and 234.
The collection obtains the information
required by the RRB to determine
entitlement to and amount of the
survivor death benefits applied for. To
collect the information, the RRB uses
Forms AA–11a, Designation for Change
of Beneficiary for Residual Lump-Sum;
AA–21, Application for Lump-Sum
Death Payment and Annuities Unpaid
at Death; AA–21cert, Application
Summary and Certification; G–131,
Authorization of Payment and Release
of All Claims to a Death Benefit or
Accrued Annuity Payment; and G–273a,
Funeral Director’s Statement of Burial
Charges. 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 31898 on May 30,
2012) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
Information Collection Request (ICR)
Title: Application for Survivor Death
Benefits.
OMB Control Number: 3220–0031.
Form(s) submitted: AA–11a, AA–
21cert, AA–21, G–131, G–273a.
Type of request: Extension without
change of a currently approved
collection.
Affected public: Individuals or
Households.
Abstract: The collection obtains the
information needed to pay death
benefits and annuities due but unpaid at
death under the Railroad Retirement
Act. Benefits are paid to designated
beneficiaries or to survivors in a priority
designated law.
Changes proposed: The RRB proposes
no changes to the forms in the
collection.
The burden estimate for the ICR is as
follows:
Annual
responses
Form No.
Time
(minutes)
Burden
(hours)
100
4,500
300
600
5,000
10
20
40
5
10
17
1,500
200
50
833
Total ......................................................................................................................................
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AA–11a ........................................................................................................................................
AA–21cert (with assistance) ........................................................................................................
AA–21 (without assistance) .........................................................................................................
G–131 ..........................................................................................................................................
G–273a ........................................................................................................................................
10,500
........................
2,600
Additional Information or Comments:
Copies of the forms and supporting
documents can be obtained from Dana
Hickman at (312) 751–4981 or
Dana.Hickman@RRB.GOV.
Comments regarding the information
collection should be addressed to
Charles Mierzwa, Railroad Retirement
Board, 844 North Rush Street, Chicago,
Illinois, 60611–2092 or
Charles.Mierzwa@RRB.GOV and to the
OMB Desk Officer for the RRB, Fax:
202–395–6974, email address:
OIRA_Submission@omb.eop.gov.
Charles Mierzwa,
Chief of Information Resources Management.
[FR Doc. 2012–18339 Filed 7–27–12; 8:45 am]
BILLING CODE 7905–01–P
VerDate Mar<15>2010
17:34 Jul 27, 2012
Jkt 226001
SECURITIES AND EXCHANGE
COMMISSION
Proposed Collection; Comment
Request
Upon Written Request, Copies Available
From: Securities and Exchange
Commission, Office of Investor
Education and Advocacy,
Washington, DC 20549–0213.
Extension:
Form 11–K, OMB Control No. 3235–0082,
SEC File No. 270–101.
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
PO 00000
Frm 00120
Fmt 4703
Sfmt 4703
of information to the Office of
Management Budget for extension and
approval.
Form 11–K (17 CFR 249.311) is the
annual report designed for use by
employee stock purchase, savings and
similar plans to comply with the
reporting requirements under Section
15(d) of the Securities and Exchange Act
of 1934 (the ‘‘Exchange Act’’) (15 U.S.C.
78o(d)). Section 15(d) establishes a
periodic reporting obligation for every
issuer of a class of securities registered
under the Securities Act of 1933 (the
‘‘Securities Act’’) (15 U.S.C. 77a et seq.).
Form 11–K provides employees of an
issuer with financial information so that
they can assess the performance of the
investment vehicle or stock plan. Form
11–K takes approximately 30 burden
hours per response and is filed by 2,000
E:\FR\FM\30JYN1.SGM
30JYN1
]]>Agencies
[Federal Register Volume 77, Number 146 (Monday, July 30, 2012)]
[Notices]
[Page 44698]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-18339]
[[Page 44698]]
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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
an Information Collection Request (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 collection of information
to determine (1) the practical utility of the collection; (2) the
accuracy of the estimated burden of the collection; (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.
Under Section 6 of the Railroad Retirement Act (RRA), lump-sum
death benefits are payable to surviving widow(er)s, children, and
certain other dependents. Lump-sum death benefits are payable after the
death of a railroad employee only if there are no qualified survivors
of the employee immediately eligible for annuities. With the exception
of the residual death benefit, eligibility for survivor benefits
depends on whether the deceased employee was ``insured'' under the RRA
at the time of death. If the deceased employee was not insured,
jurisdiction of any survivor benefits payable is transferred to the
Social Security Administration and survivor benefits are paid by that
agency instead of the RRB. The requirements for applying for benefits
are prescribed in 20 CFR 217, 219, and 234.
The collection obtains the information required by the RRB to
determine entitlement to and amount of the survivor death benefits
applied for. To collect the information, the RRB uses Forms AA-11a,
Designation for Change of Beneficiary for Residual Lump-Sum; AA-21,
Application for Lump-Sum Death Payment and Annuities Unpaid at Death;
AA-21cert, Application Summary and Certification; G-131, Authorization
of Payment and Release of All Claims to a Death Benefit or Accrued
Annuity Payment; and G-273a, Funeral Director's Statement of Burial
Charges. 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 31898 on May 30, 2012) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Application for Survivor Death Benefits.
OMB Control Number: 3220-0031.
Form(s) submitted: AA-11a, AA-21cert, AA-21, G-131, G-273a.
Type of request: Extension without change of a currently approved
collection.
Affected public: Individuals or Households.
Abstract: The collection obtains the information needed to pay
death benefits and annuities due but unpaid at death under the Railroad
Retirement Act. Benefits are paid to designated beneficiaries or to
survivors in a priority designated law.
Changes proposed: The RRB proposes no changes to the forms in the
collection.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual Time Burden
Form No. responses (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
AA-11a.......................................................... 100 10 17
AA-21cert (with assistance)..................................... 4,500 20 1,500
AA-21 (without assistance)...................................... 300 40 200
G-131........................................................... 600 5 50
G-273a.......................................................... 5,000 10 833
-----------------------------------------------
Total....................................................... 10,500 .............. 2,600
----------------------------------------------------------------------------------------------------------------
Additional Information or Comments: Copies of the forms and
supporting documents can be obtained from Dana Hickman at (312) 751-
4981 or Dana.Hickman@RRB.GOV.
Comments regarding the information collection should be addressed
to Charles Mierzwa, Railroad Retirement Board, 844 North Rush Street,
Chicago, Illinois, 60611-2092 or Charles.Mierzwa@RRB.GOV and to the OMB
Desk Officer for the RRB, Fax: 202-395-6974, email address: OIRA_Submission@omb.eop.gov.
Charles Mierzwa,
Chief of Information Resources Management.
[FR Doc. 2012-18339 Filed 7-27-12; 8:45 am]
BILLING CODE 7905-01-P
