Agency Forms Submitted for OMB Review, Request for Comments, 58186-58188 [2012-22991]
Download as PDF
58186
Federal Register / Vol. 77, No. 182 / Wednesday, September 19, 2012 / Notices
Expiration. The agreement is set to
expire 1 year after the Postal Service
notifies the customer that all necessary
approvals and reviews of the agreement
have been obtained, including a
favorable conclusion by the
Commission. Id.
II. Commission Action
The Commission establishes Docket
No. CP2012–56 for consideration of
matters raised in the Notice. Interested
persons may submit comments on
whether the Postal Service’s contract is
consistent with the policies of 39 U.S.C.
3632 and 3633. Comments are due no
later than September 21, 2012. The
public portions of the Postal Service’s
filing can be accessed via the
Commission’s Web site at https://
www.prc.gov.
The Commission appoints James F.
Callow to represent the interest of the
general public (Public Representative)
in this case.
FOR FURTHER INFORMATION CONTACT:
Elizabeth A. Reed, 202–268–3179.
SUPPLEMENTARY INFORMATION: The
United States Postal Service® hereby
gives notice that, pursuant to 39 U.S.C.
3642 and 3632(b)(3), on September 13,
2012, it filed with the Postal Regulatory
Commission a Request of the United
States Postal Service to Add Priority
Mail Contract 43 to Competitive Product
List. Documents are available at
www.prc.gov, Docket Nos. MC2012–48,
CP2012–58.
Stanley F. Mires,
Attorney, Legal Policy & Legislative Advice.
[FR Doc. 2012–23081 Filed 9–18–12; 8:45 am]
BILLING CODE 7710–12–P
POSTAL SERVICE
Product Change—Priority Mail
Negotiated Service Agreement
Postal ServiceTM.
Notice.
AGENCY:
III. Ordering Paragraphs
ACTION:
It is ordered:
1. The Commission establishes Docket
No. CP2012–56 for consideration of
matters raised in the Postal Service’s
September 11, 2012 Notice.
2. Pursuant to 39 U.S.C. 505, the
Commission designates James F. Callow
to serve as an officer of the Commission
(Public Representative) to represent the
interests of the general public in this
case.
3. Comments by interested persons
are due no later than September 21,
2012.
4. The Secretary shall arrange for
publication of this order in the Federal
Register.
SUMMARY:
By the Commission.
Ruth Ann Abrams,
Acting Secretary.
[FR Doc. 2012–23110 Filed 9–18–12; 8:45 am]
BILLING CODE 7710–FW–P
The Postal Service gives
notice of filing a request with the Postal
Regulatory Commission to add a
domestic shipping services contract to
the list of Negotiated Service
Agreements in the Mail Classification
Schedule’s Competitive Products List.
DATES: Effective date: September 19,
2012.
FOR FURTHER INFORMATION CONTACT:
Elizabeth A. Reed, 202–268–3179.
The
United States Postal Service® hereby
gives notice that, pursuant to 39 U.S.C.
3642 and 3632(b)(3), on September 13,
2012, it filed with the Postal Regulatory
Commission a Request of the United
States Postal Service to Add Priority
Mail Contract 42 to Competitive Product
List. Documents are available at
www.prc.gov, Docket Nos. MC2012–47,
CP2012–57.
SUPPLEMENTARY INFORMATION:
Stanley F. Mires,
Attorney, Legal Policy & Legislative Advice.
POSTAL SERVICE
[FR Doc. 2012–23082 Filed 9–18–12; 8:45 am]
Product Change—Priority Mail
Negotiated Service Agreement
BILLING CODE 7710–12–P
Postal ServiceTM
Notice.
AGENCY:
ACTION:
RAILROAD RETIREMENT BOARD
The Postal Service gives
notice of filing a request with the Postal
Regulatory Commission to add a
domestic shipping services contract to
the list of Negotiated Service
Agreements in the Mail Classification
Schedule’s Competitive Products List.
DATES: Effective date: September 19,
2012.
tkelley on DSK3SPTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
19:20 Sep 18, 2012
Jkt 226001
Agency Forms Submitted for OMB
Review, Request for Comments
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
SUMMARY:
PO 00000
Frm 00099
Fmt 4703
Sfmt 4703
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: Employee Representative’s
Status and Compensation Reports; OMB
3220–0014.
Under Section 1(b)(1) of the Railroad
Retirement Act (RRA), the term
‘‘employee’’ includes an individual who
is an employee representative. As
defined in Section 1(c) of the RRA, an
employee representative is an officer or
official representative of a railway labor
organization other than a labor
organization included in the term
‘‘employer,’’ as defined in the RRA, who
before or after August 29, 1935, was in
the service of an employer under the
RRA and who is duly authorized and
designated to represent employees in
accordance with the Railway Labor Act,
or, any individual who is regularly
assigned to or regularly employed by
such officer or official representative in
connection with the duties of his or her
office. The requirements relating to the
application for employee representative
status and the periodic reporting of the
compensation resulting from such status
is contained in 20 CFR part 209.10.
The RRB utilizes Forms DC–2a,
Employee Representative’s Status
Report, and DC–2, Employee
Representative’s Report of
Compensation, to obtain the
information needed to determine
employee representative status and to
maintain a record of creditable service
and compensation resulting from such
status. Completion is required to obtain
or retain a benefit. One response is
requested of each respondent.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (77 FR 40657 on July 10,
2012) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
E:\FR\FM\19SEN1.SGM
19SEN1
Federal Register / Vol. 77, No. 182 / Wednesday, September 19, 2012 / Notices
Information Collection Request (ICR)
Title: Employee Representative’s
Status and Compensation Reports.
OMB Control Number: 3220–0014.
Form(s) submitted: DC–2 and DC–2a.
Type of request: Revision of a
currently approved collection of
information.
Affected public: Private Sector;
Businesses or other for-profits.
Abstract: Benefits are provided under
the Railroad Retirement Act (RRA) for
individuals who are employee
representatives as defined in section 1
of the RRA. The collection obtains
information regarding the status of such
individuals and their compensation.
Changes proposed: The RRB proposes
a minor editorial change to both Forms
DC–2 and DC–2a.
The burden estimate for the ICR is as
follows:
Annual
responses
Form No.
58187
Time
(minutes)
DC–2a ..............................................................................................................................
DC–2 ................................................................................................................................
3
65
Total ..........................................................................................................................
Burden
(hours)
68
2. Title and Purpose of information
collection: Nonresident Questionnaire;
OMB 3220–0145. Under Public Laws
98–21 and 98–76, benefits under the
Railroad Retirement Act payable to
annuitants living outside the United
States may be subject to taxation under
United States income tax laws. Whether
the social security equivalent and nonsocial security equivalent portions of
Tier I, Tier II, vested dual benefit, or
supplemental annuity payments are
subject to tax withholding, and whether
the same or different rates are applied
to each payment, depends on a
beneficiary’s citizenship and legal
residence status, and whether
exemption under a tax treaty between
the United States and the country in
which the beneficiary is a legal resident
has been claimed. To effect the required
tax withholding, the Railroad
Retirement Board (RRB) needs to know
a nonresident’s citizenship and legal
residence status.
To secure the required information,
the RRB utilizes Form RRB–1001,
Nonresident Questionnaire, as a
supplement to an application as part of
the initial application process, and as an
independent vehicle for obtaining the
needed information when an
annuitant’s residence or tax treaty status
changes. Completion is voluntary. One
response is requested of each
respondent.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (77 FR 40658 on July 10,
2012) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
15
30
1
33
34
Information Collection Request (ICR)
Title: Nonresident Questionnaire.
OMB Control Number: 3220–0145.
Form(s) submitted: RRB–1001.
Type of request: Extension without
change of a currently approved
collection.
Affected public: Individuals or
Households.
Abstract: Under the Railroad
Retirement Act, the benefits payable to
an annuitant living outside the United
States may be subject to withholding
under Public Laws 98–21 and 98–76.
The form obtains the information
needed to determine the amount to be
withheld.
Changes proposed: The RRB proposes
no changes to Form RRB–1001.
The burden estimate for the ICR is as
follows:
Annual
responses
Time
(minutes)
Burden
(hours)
RRB–1001 .......................................................................................................................
tkelley on DSK3SPTVN1PROD with NOTICES
Form No.
1,300
30
650
3. Title and Purpose of information
collection: Statement of Claimant or
Other Person; OMB 3220–0183.
To support an application for an
annuity under Section 2 of the Railroad
Retirement Act (RRA) or for
unemployment benefits under Section 2
of the Railroad Unemployment
Insurance Act (RUIA), pertinent
information and proofs must be
furnished for the RRB to determine
benefit entitlement. Circumstances may
require an applicant or other person(s)
having knowledge of facts relevant to
the applicant’s eligibility for an annuity
or benefits to provide written statements
supplementing or changing statements
previously provided by the applicant.
Under the railroad retirement program
these statements may relate to a change
in an annuity beginning date(s), date of
marriage(s), birth(s), prior railroad or
VerDate Mar<15>2010
19:20 Sep 18, 2012
Jkt 226001
non-railroad employment, an
applicant’s request for reconsideration
of an unfavorable RRB eligibility
determination for an annuity or various
other matters. The statements may also
be used by the RRB to secure a variety
of information needed to determine
eligibility to unemployment and
sickness benefits. Procedures related to
providing information needed for RRA
annuity or RUIA benefit eligibility
determinations are prescribed in 20 CFR
parts 217 and 320 respectively.
The RRB utilizes Form G–93,
Statement of Claimant or Other Person,
to obtain from applicants or other
persons, the supplemental or corrective
information needed to determine
applicant eligibility for an RRA annuity
or RUIA benefits. Completion is
voluntary. One response is requested of
each respondent.
PO 00000
Frm 00100
Fmt 4703
Sfmt 4703
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (77 FR 40658 on July 10,
2012) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
Information Collection Request (ICR)
Title: Statement of Claimant or Other
Person.
OMB Control Number: 3220–0183.
Form(s) submitted: G–93.
Type of request: Extension without
change of a currently approved
collection.
Affected public: Individuals or
Households.
Abstract: Under Section 2 of the
Railroad Retirement Act and the
Railroad Unemployment Insurance Act,
pertinent information and proofs must
be submitted by an applicant so that the
Railroad Retirement Board can
determine his or her entitlement to
E:\FR\FM\19SEN1.SGM
19SEN1
58188
Federal Register / Vol. 77, No. 182 / Wednesday, September 19, 2012 / Notices
benefits. The collection obtains
information supplementing or changing
information previously provided by an
applicant.
Changes proposed: The RRB proposes
no revisions to Form G–93.
The burden estimate for the ICR is as
follows:
Form No.
Annual responses
Time
(minutes)
Burden
(hours)
G–93 ................................................................................................................................
900
15
225
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. 2012–22991 Filed 9–18–12; 8:45 am]
BILLING CODE 7905–01–P
SECURITIES AND EXCHANGE
COMMISSION
[Release No. 34–67848; File No. SR–C2–
2012–032]
Self-Regulatory Organizations; C2
Options Exchange, Incorporated;
Notice of Filing and Immediate
Effectiveness of a Proposed Rule
Change To Adopt a Rule Regarding
Mandatory Trading Permit Holder
Education and Corresponding Set of
Fines
tkelley on DSK3SPTVN1PROD with NOTICES
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
September 4, 2012, C2 Options
Exchange, Incorporated (the ‘‘Exchange’’
or ‘‘C2’’) filed with the Securities and
Exchange Commission (the
‘‘Commission’’) the proposed rule
change as described in Items I and II,
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.
2 17
U.S.C. 78s(b)(1).
CFR 240.19b–4.
VerDate Mar<15>2010
19:20 Sep 18, 2012
Jkt 226001
II. Self-Regulatory Organization’s
Statement of the Purpose of, and
Statutory Basis for, the Proposed Rule
Change
In its filing with the Commission, the
Exchange included statements
concerning the purpose of and basis for
the proposed rule change and discussed
any comments it received on the
proposed rule change. The text of these
statements may be examined at the
places specified in Item IV below. The
Exchange has prepared summaries, set
forth in sections A, B, and C below, of
the most significant aspects of such
statements.
A. Self-Regulatory Organization’s
Statement of the Purpose of, and the
Statutory Basis for, the Proposed Rule
Change
September 13, 2012.
1 15
I. Self-Regulatory Organization’s
Statement of the Terms of Substance of
the Proposed Rule Change
C2 proposes to adopt a rule requiring
Trading Permit Holder (‘‘TPH’’)
education and corresponding fine
structure. The text of the proposed rule
change is available on the Exchange’s
Web site (https://www.c2exchange.com/
Legal/), at the Commission’s Web site
(https://www.sec.gov), at the Exchange’s
Office of the Secretary, and at the
Commission’s Public Reference Room.
1. Purpose
The Exchange proposes to adopt
proposed Rule 6.46 stating that TPHs
and persons associated with TPHs
(‘‘Associated Persons’’) are required to
attend such educational classes as the
Exchange may require from time to
time. Failure to attend Exchangemandated continuing educational
classes may subject TPHs and
Associated Persons to sanctions
pursuant to the Exchange’s Minor Rule
Violation Plan provided in Exchange
Rule 17.50. The Exchange believes that
it is important and necessary from time
to time to require mandatory
participation in certain educational
training classes by its TPHs and
Associated Persons for a variety of
reasons, including to explain the
operation of new technology and new
rules, procedures and policies regarding
PO 00000
Frm 00101
Fmt 4703
Sfmt 4703
trading on the Exchange. The text of the
proposed Rule 6.46 is identical to that
of Chicago Board Options Exchange,
Incorporated (‘‘CBOE’’) Rule 6.20(e)
(with the exclusion of a sentence in
CBOE Rule 6.20(e) regarding Floor
Officials, which is inapplicable to C2, as
C2 is an all-electronic exchange that
does not have a trading floor).3
To correspond with the adoption of
proposed Rule 6.46, the Exchange also
proposes to amend its Rule 17.50—
Imposition of Fines for Minor Rule
Violations. CBOE Chapter 17—
Discipline (which includes Rule 17.50—
Imposition of Fines for Minor Rule
Violations) is incorporated into the C2
rules by reference as C2 Chapter 17.4
CBOE Rule 17.50(g)(6)—Violations of
Trading Conduct and Decorum
Policies—imposes fines for violations of
trading conduct and decorum policies.
Because C2 (an all-electronic exchange)
does not have a trading floor, the
majority of the violations for which
fines can be imposed under CBOE Rule
17.50(g)(6) (such as not complying with
the trading floor dress code, bringing
impermissible food or drink onto the
trading floor, and running on the trading
floor) could not take place on C2.
However, there is one exception: CBOE
Rule 17.50(g)(6) allows for the
imposition of fines for the failure to
attend CBOE-mandated educational
training.5 Therefore, instead of simply
stating that, with respect to applicability
to C2 only, CBOE Rule 17.50(g)(6) shall
not apply to C2, the Exchange instead
proposes to state that, notwithstanding
the remainder of C2 Chapter 17, with
respect to its applicability to C2 only,
CBOE Rule 17.50(g)(6)—Violations of
Trading Conduct and Decorum
Policies—will be replaced in its entirety
with the following: A fine may be
imposed upon a Trading Permit Holder
or persons associated with Trading
Permit Holders in accordance with the
fine schedule set forth below for failure
3 See
CBOE Rule 6.20(e).
Securities Exchange Act Release No. 62323
(June 17, 2010), 75 FR 36144 (June 24, 2012) (SR–
C2–2010–002).
5 See CBOE Regulatory Circular RG09–92 (August
28, 2009).
4 See
E:\FR\FM\19SEN1.SGM
19SEN1
Agencies
[Federal Register Volume 77, Number 182 (Wednesday, September 19, 2012)]
[Notices]
[Pages 58186-58188]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-22991]
=======================================================================
-----------------------------------------------------------------------
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: Employee
Representative's Status and Compensation Reports; OMB 3220-0014.
Under Section 1(b)(1) of the Railroad Retirement Act (RRA), the
term ``employee'' includes an individual who is an employee
representative. As defined in Section 1(c) of the RRA, an employee
representative is an officer or official representative of a railway
labor organization other than a labor organization included in the term
``employer,'' as defined in the RRA, who before or after August 29,
1935, was in the service of an employer under the RRA and who is duly
authorized and designated to represent employees in accordance with the
Railway Labor Act, or, any individual who is regularly assigned to or
regularly employed by such officer or official representative in
connection with the duties of his or her office. The requirements
relating to the application for employee representative status and the
periodic reporting of the compensation resulting from such status is
contained in 20 CFR part 209.10.
The RRB utilizes Forms DC-2a, Employee Representative's Status
Report, and DC-2, Employee Representative's Report of Compensation, to
obtain the information needed to determine employee representative
status and to maintain a record of creditable service and compensation
resulting from such status. Completion is required to obtain or retain
a benefit. One response is requested of each respondent.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (77 FR 40657 on July 10, 2012) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
[[Page 58187]]
Information Collection Request (ICR)
Title: Employee Representative's Status and Compensation Reports.
OMB Control Number: 3220-0014.
Form(s) submitted: DC-2 and DC-2a.
Type of request: Revision of a currently approved collection of
information.
Affected public: Private Sector; Businesses or other for-profits.
Abstract: Benefits are provided under the Railroad Retirement Act
(RRA) for individuals who are employee representatives as defined in
section 1 of the RRA. The collection obtains information regarding the
status of such individuals and their compensation.
Changes proposed: The RRB proposes a minor editorial change to both
Forms DC-2 and DC-2a.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
DC-2a..................................................... 3 15 1
DC-2...................................................... 65 30 33
-----------------------------------------------------
Total................................................. 68 ................ 34
----------------------------------------------------------------------------------------------------------------
2. Title and Purpose of information collection: Nonresident
Questionnaire; OMB 3220-0145. Under Public Laws 98-21 and 98-76,
benefits under the Railroad Retirement Act payable to annuitants living
outside the United States may be subject to taxation under United
States income tax laws. Whether the social security equivalent and non-
social security equivalent portions of Tier I, Tier II, vested dual
benefit, or supplemental annuity payments are subject to tax
withholding, and whether the same or different rates are applied to
each payment, depends on a beneficiary's citizenship and legal
residence status, and whether exemption under a tax treaty between the
United States and the country in which the beneficiary is a legal
resident has been claimed. To effect the required tax withholding, the
Railroad Retirement Board (RRB) needs to know a nonresident's
citizenship and legal residence status.
To secure the required information, the RRB utilizes Form RRB-1001,
Nonresident Questionnaire, as a supplement to an application as part of
the initial application process, and as an independent vehicle for
obtaining the needed information when an annuitant's residence or tax
treaty status changes. Completion is voluntary. One response is
requested of each respondent.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (77 FR 40658 on July 10, 2012) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Nonresident Questionnaire.
OMB Control Number: 3220-0145.
Form(s) submitted: RRB-1001.
Type of request: Extension without change of a currently approved
collection.
Affected public: Individuals or Households.
Abstract: Under the Railroad Retirement Act, the benefits payable
to an annuitant living outside the United States may be subject to
withholding under Public Laws 98-21 and 98-76. The form obtains the
information needed to determine the amount to be withheld.
Changes proposed: The RRB proposes no changes to Form RRB-1001.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Form No. Annual responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
RRB-1001............................................... 1,300 30 650
----------------------------------------------------------------------------------------------------------------
3. Title and Purpose of information collection: Statement of
Claimant or Other Person; OMB 3220-0183.
To support an application for an annuity under Section 2 of the
Railroad Retirement Act (RRA) or for unemployment benefits under
Section 2 of the Railroad Unemployment Insurance Act (RUIA), pertinent
information and proofs must be furnished for the RRB to determine
benefit entitlement. Circumstances may require an applicant or other
person(s) having knowledge of facts relevant to the applicant's
eligibility for an annuity or benefits to provide written statements
supplementing or changing statements previously provided by the
applicant. Under the railroad retirement program these statements may
relate to a change in an annuity beginning date(s), date of
marriage(s), birth(s), prior railroad or non-railroad employment, an
applicant's request for reconsideration of an unfavorable RRB
eligibility determination for an annuity or various other matters. The
statements may also be used by the RRB to secure a variety of
information needed to determine eligibility to unemployment and
sickness benefits. Procedures related to providing information needed
for RRA annuity or RUIA benefit eligibility determinations are
prescribed in 20 CFR parts 217 and 320 respectively.
The RRB utilizes Form G-93, Statement of Claimant or Other Person,
to obtain from applicants or other persons, the supplemental or
corrective information needed to determine applicant eligibility for an
RRA annuity or RUIA benefits. Completion is voluntary. One response is
requested of each respondent.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (77 FR 40658 on July 10, 2012) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Statement of Claimant or Other Person.
OMB Control Number: 3220-0183.
Form(s) submitted: G-93.
Type of request: Extension without change of a currently approved
collection.
Affected public: Individuals or Households.
Abstract: Under Section 2 of the Railroad Retirement Act and the
Railroad Unemployment Insurance Act, pertinent information and proofs
must be submitted by an applicant so that the Railroad Retirement Board
can determine his or her entitlement to
[[Page 58188]]
benefits. The collection obtains information supplementing or changing
information previously provided by an applicant.
Changes proposed: The RRB proposes no revisions to Form G-93.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Form No. Annual responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
G-93................................................... 900 15 225
----------------------------------------------------------------------------------------------------------------
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. 2012-22991 Filed 9-18-12; 8:45 am]
BILLING CODE 7905-01-P