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 http:// 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 (http://www.c2exchange.com/ Legal/), at the Commission’s Web site (http://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]


=======================================================================
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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 
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