Agency Forms Submitted for OMB Review, Request for Comments, 69665-69666 [2012-28124]

Download as PDF 69665 Federal Register / Vol. 77, No. 224 / Tuesday, November 20, 2012 / Notices (Closed—Ex. 2 & 6) 2:00 p.m. Discussion of Management and Personnel Issues (Closed—Ex. 1, 2 & 6) Thursday, November 29, 2012 2:30 p.m. Briefing on Security issues (Closed—Ex. 1) Week of December 3, 2012—Tentative accommodation will be made on a caseby-case basis. * * * * * This notice is distributed electronically to subscribers. If you no longer wish to receive it, or would like to be added to the distribution, please contact the Office of the Secretary, Washington, DC 20555 (301–415–1969), or send an email to darlene.wright@nrc.gov. Thursday, December 6, 2012 9:30 a.m. Meeting with the Advisory Committee on Reactor Safeguards (ACRS) (Public Meeting) (Contact: Ed Hackett, 301–415–7360) This meeting will be webcast live at the Web address—www.nrc.gov Dated: November 15, 2012. Rochelle C. Bavol, Policy Coordinator, Office of the Secretary. Week of December 10, 2012—Tentative There are no meetings scheduled for the week of December 10, 2012. RAILROAD RETIREMENT BOARD Week of December 17, 2012—Tentative There are no meetings scheduled for the week of December 17, 2012. Week of December 24, 2012—Tentative There are no meetings scheduled for the week of December 24, 2012. * * * * * * The schedule for Commission meetings is subject to change on short notice. To verify the status of meetings, call (recording)—301–415–1292. Contact person for more information: Rochelle Bavol, 301–415–1651. * * * * * The NRC Commission Meeting Schedule can be found on the Internet at: http://www.nrc.gov/public-involve/ public-meetings/schedule.html. * * * * * The NRC provides reasonable accommodation to individuals with disabilities where appropriate. If you need a reasonable accommodation to participate in these public meetings, or need this meeting notice or the transcript or other information from the public meetings in another format (e.g. braille, large print), please notify Bill Dosch, Chief, Work Life and Benefits Branch, at 301–415–6200, TDD: 301– 415–2100, or by email at william.dosch@nrc.gov. Determinations on requests for reasonable [FR Doc. 2012–28312 Filed 11–16–12; 4:15 pm] BILLING CODE 7590–01–P 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 two 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: Survivor Questionnaire; OMB 3220–0032. Under Section 6 of the Railroad Retirement Act (RRA), benefits that may be due on the death of a railroad employee or a survivor annuitant include (1) a lump-sum death benefit (2) a residual lump-sum payment (3) accrued annuities due but unpaid at death, and (4) monthly survivor insurance payments. The requirements for determining the entitlement of possible beneficiaries to these benefits are prescribed in 20 CFR 234. When the Railroad Retirement Board (RRB) receives notification of the death of a railroad employee or survivor annuitant, an RRB field office utilizes Form RL–94–F, Survivor Questionnaire, to secure additional information from surviving relatives needed to determine if any further benefits are payable under the RRA. 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 51834 on August 27, 2012) required by 44 U.S.C. 3506(c)(2). That request elicited no comments. Information Collection Request (ICR) Title: Survivor Questionnaire . OMB Control Number: 3220–0032. Form(s) submitted: RL–94–F. Type of request: Revision of a currently approved collection. Affected public: Individuals or Households. Abstract: Under Section 6 of the Railroad Retirement Act, benefits are payable to the survivors of the estates of deceased railroad employees. The collection obtains information used to determine if and to whom benefits are payable; such as a widow(er) due survivor benefits, an executor of the estate, or a payer of burial expenses. Changes proposed: The RRB proposes collecting identifying information when a trustee pays the burial expenses; minor non-burden impacting clarification; and editorial changes to Form RL–94–F. The burden estimate for the ICR is as follows: Annual responses Form No. Time (minutes) Burden (hours) wreier-aviles on DSK5TPTVN1PROD with RL–94–F, Items 5–10, and 18 ..................................................................................................... RL–94–F, Items 5–18 .................................................................................................................. RL–94–F, Item 18 only ................................................................................................................ 50 7,200 750 9 11 5 8 1,320 63 Total ...................................................................................................................................... 8,000 ........................ 1,391 VerDate Mar<15>2010 15:12 Nov 19, 2012 Jkt 229001 PO 00000 Frm 00076 Fmt 4703 Sfmt 4703 E:\FR\FM\20NON1.SGM 20NON1 69666 Federal Register / Vol. 77, No. 224 / Tuesday, November 20, 2012 / Notices 2. Title and Purpose of information collection: Request for Medicare Payment; OMB 3220–0131. Under Section 7(d) of the Railroad Retirement Act, the RRB administers the Medicare program for persons covered by the railroad retirement system. The collection obtains the information needed by Palmetto GBA, the Medicare carrier for railroad retirement beneficiaries, to pay claims for payments under Part B of the Medicare program. Authority for collecting the information is prescribed in 42 CFR 424.32. The RRB currently utilizes Forms G– 740S, Patient’s Request for Medicare Payment, along with Centers for Medicare & Medicaid Services Form CMS–1500, to secure the information necessary to pay Part B Medicare Claims. One response is completed for each claim. Completion is required to obtain a benefit. Previous Requests for Comments: The RRB has already published the initial 60-day notice (77 FR 51834 on September 4, 2012) required by 44 U.S.C. 3506(c)(2). That request elicited no comments. Information Collection Request (ICR) Title: Request for Medicare Payment. OMB Control Number: 3220–0131. Form(s) submitted: G–740S, CMS– 1500. Type of request: Revision of a currently approved collection. Affected public: Individuals or Households. Abstract: The RRB administers the Medicare program for persons covered by the Railroad Retirement System. The collection obtains the information needed by Palmetto GBA, the RRB’s carrier, to pay claims for services covered under Part B of the program. Changes proposed: The RRB is proposing minor, non-burden impacting editorial and cosmetic changes to RRB Form G–740S. The burden estimate for the ICR is as follows: Estimated annual number of respondents: See Justification (Item No. 12). Total annual responses: 1. Total annual reporting hours: 1. 3. Title and Purpose of information collection: Employer’s Deemed Service Month Questionnaire; OMB 3220–0156. Section 3(i) of the Railroad Retirement Act (RRA), as amended by Public Law 98–76, provides that the Railroad Retirement Board (RRB), under certain circumstances, may deem additional months of service in cases where an employee does not actually work in every month of the year, provided the employee satisfies certain eligibility requirements, including the existence of an employment relation between the employee and his or her employer. The procedures pertaining to the deeming of additional months of service are found in the RRB’s regulations at 20 CFR 210, Creditable Railroad Service. The RRB utilizes Form GL–99, Employer’s Deemed Service Months Questionnaire, to obtain service and compensation information from railroad employers to determine if an employee can be credited with additional deemed months of railroad service. Completion is mandatory. One response is required for each RRB inquiry. Previous Requests for Comments: The RRB has already published the initial 60-day notice (77 FR 51834 on August 27, 2012) required by 44 U.S.C. 3506(c)(2). That request elicited no comments. Information Collection Request (ICR) Title: Employer’s Deemed Service Month Questionnaire. OMB Control Number: 3220–0156. Form(s) submitted: GL–99. Type of request: Revision of a currently approved collection. Affected public: Individuals or Households. Abstract: Under Section 3(i) of the Railroad Retirement Act, the Railroad Retirement Board may deem months of service in cases where an employee does not actually work in every month of the year. The collection obtains service and compensation information from railroad employers needed to determine if an employee may be credited with additional months of railroad service. Changes proposed: The RRB is proposing revisions to Form GL–99 to obtain only a ‘‘Yes’’ or ‘‘No’’ response regarding whether an employee was in an employment relationship with an employer during any months indicated on the GL–99 as not worked. Other minor non-burden impacting editorial changes are also proposed. The burden estimate for the ICR is as follows: Annual responses Time (minutes) Burden (hours) GL–99 .......................................................................................................................................... wreier-aviles on DSK5TPTVN1PROD with Form No. 4,000 2 133 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. 2012–28124 Filed 11–19–12; 8:45 am] BILLING CODE 7905–01–P VerDate Mar<15>2010 15:12 Nov 19, 2012 Jkt 229001 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 a Closed Meeting on Tuesday, November 20, 2012 at 2:00 p.m. Commissioners, Counsel to the Commissioners, the Secretary to the Commission, and recording secretaries will attend the Closed Meeting. Certain staff members who have an interest in the matters also may be present. The General Counsel of the Commission, or his designee, has certified that, in his opinion, one or PO 00000 Frm 00077 Fmt 4703 Sfmt 4703 more of the exemptions set forth in 5 U.S.C. 552b(c)(3), (5), (7), 9(B) and (10) and 17 CFR 200.402(a)(3), (5), (7), 9(ii) and (10), permit consideration of the scheduled matters at the Closed Meeting. Commissioner Walter as duty officer, voted to consider the items listed for the Closed Meeting in a closed session, and determined that no earlier notice thereof was possible. The subject matter of the Closed Meeting will be: Institution and settlement of injunctive actions; Institution and settlement of administrative proceedings; and Other matters relating to enforcement proceedings. E:\FR\FM\20NON1.SGM 20NON1

Agencies

[Federal Register Volume 77, Number 224 (Tuesday, November 20, 2012)]
[Notices]
[Pages 69665-69666]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-28124]


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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 
two 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: Survivor 
Questionnaire; OMB 3220-0032.
    Under Section 6 of the Railroad Retirement Act (RRA), benefits that 
may be due on the death of a railroad employee or a survivor annuitant 
include (1) a lump-sum death benefit (2) a residual lump-sum payment 
(3) accrued annuities due but unpaid at death, and (4) monthly survivor 
insurance payments. The requirements for determining the entitlement of 
possible beneficiaries to these benefits are prescribed in 20 CFR 234.
    When the Railroad Retirement Board (RRB) receives notification of 
the death of a railroad employee or survivor annuitant, an RRB field 
office utilizes Form RL-94-F, Survivor Questionnaire, to secure 
additional information from surviving relatives needed to determine if 
any further benefits are payable under the RRA. 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 51834 on August 27, 2012) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Survivor Questionnaire .
    OMB Control Number: 3220-0032.
    Form(s) submitted: RL-94-F.
    Type of request: Revision of a currently approved collection.
    Affected public: Individuals or Households.
    Abstract: Under Section 6 of the Railroad Retirement Act, benefits 
are payable to the survivors of the estates of deceased railroad 
employees. The collection obtains information used to determine if and 
to whom benefits are payable; such as a widow(er) due survivor 
benefits, an executor of the estate, or a payer of burial expenses.
    Changes proposed: The RRB proposes collecting identifying 
information when a trustee pays the burial expenses; minor non-burden 
impacting clarification; and editorial changes to Form RL-94-F.
    The burden estimate for the ICR is as follows:

----------------------------------------------------------------------------------------------------------------
                                                                      Annual           Time           Burden
                            Form No.                                 responses       (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
RL-94-F, Items 5-10, and 18.....................................              50               9               8
RL-94-F, Items 5-18.............................................           7,200              11           1,320
RL-94-F, Item 18 only...........................................             750               5              63
                                                                 -----------------------------------------------
    Total.......................................................           8,000  ..............           1,391
----------------------------------------------------------------------------------------------------------------


[[Page 69666]]

    2. Title and Purpose of information collection: Request for 
Medicare Payment; OMB 3220-0131.
    Under Section 7(d) of the Railroad Retirement Act, the RRB 
administers the Medicare program for persons covered by the railroad 
retirement system. The collection obtains the information needed by 
Palmetto GBA, the Medicare carrier for railroad retirement 
beneficiaries, to pay claims for payments under Part B of the Medicare 
program. Authority for collecting the information is prescribed in 42 
CFR 424.32.
    The RRB currently utilizes Forms G-740S, Patient's Request for 
Medicare Payment, along with Centers for Medicare & Medicaid Services 
Form CMS-1500, to secure the information necessary to pay Part B 
Medicare Claims. One response is completed for each claim. Completion 
is required to obtain a benefit.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (77 FR 51834 on September 4, 2012) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Request for Medicare Payment.
    OMB Control Number: 3220-0131.
    Form(s) submitted: G-740S, CMS-1500.
    Type of request: Revision of a currently approved collection.
    Affected public: Individuals or Households.
    Abstract: The RRB administers the Medicare program for persons 
covered by the Railroad Retirement System. The collection obtains the 
information needed by Palmetto GBA, the RRB's carrier, to pay claims 
for services covered under Part B of the program.
    Changes proposed: The RRB is proposing minor, non-burden impacting 
editorial and cosmetic changes to RRB Form G-740S.
    The burden estimate for the ICR is as follows:
    Estimated annual number of respondents: See Justification (Item No. 
12).
    Total annual responses: 1.
    Total annual reporting hours: 1.
    3. Title and Purpose of information collection: Employer's Deemed 
Service Month Questionnaire; OMB 3220-0156.
    Section 3(i) of the Railroad Retirement Act (RRA), as amended by 
Public Law 98-76, provides that the Railroad Retirement Board (RRB), 
under certain circumstances, may deem additional months of service in 
cases where an employee does not actually work in every month of the 
year, provided the employee satisfies certain eligibility requirements, 
including the existence of an employment relation between the employee 
and his or her employer. The procedures pertaining to the deeming of 
additional months of service are found in the RRB's regulations at 20 
CFR 210, Creditable Railroad Service.
    The RRB utilizes Form GL-99, Employer's Deemed Service Months 
Questionnaire, to obtain service and compensation information from 
railroad employers to determine if an employee can be credited with 
additional deemed months of railroad service. Completion is mandatory. 
One response is required for each RRB inquiry.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (77 FR 51834 on August 27, 2012) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Employer's Deemed Service Month Questionnaire.
    OMB Control Number: 3220-0156.
    Form(s) submitted: GL-99.
    Type of request: Revision of a currently approved collection.
    Affected public: Individuals or Households.
    Abstract: Under Section 3(i) of the Railroad Retirement Act, the 
Railroad Retirement Board may deem months of service in cases where an 
employee does not actually work in every month of the year. The 
collection obtains service and compensation information from railroad 
employers needed to determine if an employee may be credited with 
additional months of railroad service.
    Changes proposed: The RRB is proposing revisions to Form GL-99 to 
obtain only a ``Yes'' or ``No'' response regarding whether an employee 
was in an employment relationship with an employer during any months 
indicated on the GL-99 as not worked. Other minor non-burden impacting 
editorial changes are also proposed.
    The burden estimate for the ICR is as follows:

----------------------------------------------------------------------------------------------------------------
                                                                    Annual
                           Form No.                               responses     Time  (minutes)  Burden  (hours)
----------------------------------------------------------------------------------------------------------------
GL-99........................................................           4,000                2              133
----------------------------------------------------------------------------------------------------------------

    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. 2012-28124 Filed 11-19-12; 8:45 am]
BILLING CODE 7905-01-P