Agency Forms Submitted for OMB Review, Request for Comments, 16381-16384 [2014-06500]
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16381
Federal Register / Vol. 79, No. 57 / Tuesday, March 25, 2014 / Notices
interests of the general public (Public
Representative) in this case.
are available at www.prc.gov, Docket
Nos. MC2014–22, CP2014–37.
III. Ordering Paragraphs
Stanley F. Mires,
Attorney, Legal Policy & Legislative Advice.
It is ordered:
1. The Commission reopens Docket
No. CP2012–23 for consideration of
matters raised by the Postal Service’s
Notice.
2. Pursuant to 39 U.S.C. 505, the
Commission appoints Lyudmila Y.
Bzhilyanskaya to serve as an officer of
the Commission (Public Representative)
to represent the interests of the general
public in this proceeding.
3. Comments are due no later than
March 26, 2014.
4. The Secretary shall arrange for
publication of this order in the Federal
Register.
By the Commission.
Shoshana M. Grove,
Secretary.
[FR Doc. 2014–06434 Filed 3–24–14; 8:45 am]
BILLING CODE 7710–FW–P
POSTAL SERVICE
Product Change—Priority Mail
Express, Priority Mail, & First-Class
Package Service Negotiated Service
Agreement
AGENCY:
ACTION:
Postal ServiceTM.
Notice.
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.
SUMMARY:
DATES:
Effective date: March 25, 2014.
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 March 18, 2014,
it filed with the Postal Regulatory
Commission a Request of the United
States Postal Service to Add Priority
Mail Express, Priority Mail, & First-Class
Package Service Contract 2 to
Competitive Product List. Documents
emcdonald on DSK67QTVN1PROD with NOTICES
SUPPLEMENTARY INFORMATION:
[FR Doc. 2014–06446 Filed 3–24–14; 8:45 am]
BILLING CODE 7710–12–P
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.
1. Title and purpose of information
collection: Application and Claim for
Unemployment Benefits and
Employment Service; OMB 3220–0022.
Section 2 of the Railroad
Unemployment Insurance Act (RUIA),
provides unemployment benefits for
qualified railroad employees. These
benefits are generally payable for each
day of unemployment in excess of four
during a registration period (normally a
period of 14 days).
Section 12 of the RUIA provides that
the RRB establish, maintain and operate
free employment facilities directed
toward the reemployment of railroad
employees. The procedures for applying
for the unemployment benefits and
UI–1 .............................................................................................................................................
UI–1 (Internet) ..............................................................................................................................
UI–3 .............................................................................................................................................
18:16 Mar 24, 2014
Jkt 232001
PO 00000
Information Collection Request (ICR)
Title: Application and Claim for
Unemployment Benefits and
Employment Service.
OMB Control Number: 3220–0022.
Forms submitted: UI–1, UI–1
(Internet), UI–3, UI–3 (Internet).
Type of request: Extension without
change of a currently approved
collection.
Affected public: Individuals or
Households.
Abstract: Under Section 2 of the
Railroad Unemployment Insurance Act,
unemployment benefits are provided for
qualified railroad employees. The
collection obtains the information
needed to determine the eligibility to
and amount of such benefits for railroad
employees.
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.
VerDate Mar<15>2010
employment service and for registering
and claiming the benefits are prescribed
in 20 CFR 325.
The RRB utilizes the following forms
to collect the information necessary to
pay unemployment benefits: Form UI–1
(or its Internet equivalent, Form UI–1
(Internet)), Application for
Unemployment Benefits and
Employment Service, is completed by a
claimant for unemployment benefits
once in a benefit year, at the time of first
registration. Completion of Form UI–1
or UI–1 (Internet) also registers an
unemployment claimant for the RRB’s
employment service.
The RRB also utilizes Form UI–3, (or
its Internet equivalent Form UI–3
(Internet)) Claim for Unemployment
Benefits for use in claiming
unemployment benefits for days of
unemployment in a particular
registration period, normally a period of
14 days.
Completion of Forms UI–1, UI–1
(Internet), UI–3 and UI–3 (Internet) is
required to obtain or retain benefits. The
number of responses required of each
claimant varies, depending on their
period of unemployment.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (79 FR 415 on January 3,
2014) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
Frm 00106
Fmt 4703
Sfmt 4703
6,817
3,490
51,996
E:\FR\FM\25MRN1.SGM
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Time
(minutes)
Burden
(hours)
10
10
6
1,136
582
5,200
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Federal Register / Vol. 79, No. 57 / Tuesday, March 25, 2014 / Notices
Annual
responses
Form No.
Time
(minutes)
Burden
(hours)
UI–3 (Internet) ..............................................................................................................................
36,286
6
3,629
Total ......................................................................................................................................
98,589
........................
10,547
2. Title and purpose of information
collection: Railroad Unemployment
Insurance Act Applications; OMB 3220–
0039.
Under Section 2 of the Railroad
Unemployment Insurance Act (RUIA),
sickness benefits are payable to
qualified railroad employees who are
unable to work because of illness or
injury. In addition, sickness benefits are
payable to qualified female employees if
they are unable to work, or if working
would be injurious, because of
pregnancy, miscarriage, or childbirth.
Under Section 1(k) of the RUIA, a
statement of sickness for the days the
employee was sick and not able to work,
is to be filed with the RRB within a 10day period from the first day claimed as
a day of sickness. The RRB’s authority
for requesting supplemental medical
information is Sections 12(i) and 12(n)
of the RUIA. The procedures for
claiming sickness benefits and for the
RRB to obtain supplemental medical
information needed to determine a
claimant’s eligibility for such benefits
are prescribed in 20 CFR Part 335.
The forms currently used by the RRB
to obtain information needed to
determine eligibility for and the amount
of sickness benefits due a claimant are
as follows: Form SI–1A, Application for
Sickness Benefits; Form SI–1b,
Statement of Sickness; Form SI–3, Claim
for Sickness Benefits; Form SI–7,
Supplemental Doctor’s Statement; Form
SI–8, Verification of Medical
Information; Form ID–7H, NonEntitlement to Sickness Benefits and
Information on Unemployment Benefits;
Form ID–11A, Notice of Late Filing; and
Form ID–11B, Notice of Insufficient
Medical and Late Filing. Completion is
required to obtain or retain benefits.
One response is requested of each
respondent.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (78 57421 on September
18, 2013) required by 44 U.S.C.
3506(c)(2). That request elicited no
comments.
Information Collection Request (ICR)
Title: Railroad Unemployment
Insurance Act Applications.
OMB Control Number: 3220–0039.
Form(s) submitted: SI–1a, SI–1b, SI–3,
SI–3 (Internet), SI–7, SI–8, ID–7H, ID–
11A and ID–11B.
Type of request: Revision of a
currently approved collection.
Affected public: Individuals or
Households.
Abstract: Under Section 2 of the
Railroad Unemployment Insurance Act,
sickness benefits are payable to
qualified railroad employees who are
unable to work because of illness or
injury. The collection obtains
information from railroad employees
and physicians needed to determine
eligibility to and the amount of such
benefits.
Changes proposed: The RRB proposes
to delete Forms ID–7H and ID–11B from
the information collection due to less
than ten responses per year.
The burden estimate for the ICR is as
follows:
Annual
responses
Form No.
Time
(minutes)
Burden
(hours)
16,000
16,000
126,490
33,443
21,472
26
518
10
8
5
5
8
5
4
2,667
2,133
10,541
2,787
2,863
2
35
Total ......................................................................................................................................
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SI–1a (Employee) ........................................................................................................................
SI–1b (Doctor) .............................................................................................................................
SI–3 (Manual) ..............................................................................................................................
SI–3 (Internet) ..............................................................................................................................
SI–7 ..............................................................................................................................................
SI–8 ..............................................................................................................................................
ID–11A .........................................................................................................................................
213,949
........................
21,028
3. Title and purpose of information
collection: Public Service Pension
Questionnaires; OMB 3220–0136.
Public Law 95–216 amended the
Social Security Act of 1977 by
providing, in part, that spouse or
survivor benefits may be reduced when
the beneficiary is in receipt of a pension
based on employment with a Federal,
State, or local governmental unit.
Initially, the reduction was equal to the
full amount of the government pension.
Public Law 98–21 changed the
reduction to two-thirds of the amount of
the government pension. Public Law
108–203 amended the Social Security
Act by changing the requirement for
exemption to public service offset, that
Federal Insurance Contributions Act
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18:16 Mar 24, 2014
Jkt 232001
(FICA) taxes be deducted from the
public service wages for the last 60
months of public service employment,
rather than just the last day of public
service employment.
Sections 4(a)(1) and 4(f)(1) of the
Railroad Retirement Act (RRA) provides
that a spouse or survivor annuity should
be equal in amount to what the
annuitant would receive if entitled to a
like benefit from the Social Security
Administration. Therefore, the public
service pension (PSP) provisions apply
to RRA annuities. RRB regulations
pertaining to the collection of evidence
relating to public service pensions or
worker’s compensation paid to spouse
or survivor applicants or annuitants are
found in 20 CFR 219.64c.
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Fmt 4703
Sfmt 4703
The RRB utilizes Form G–208, Public
Service Pension Questionnaire, and
Form G–212, Public Service Monitoring
Questionnaire, to obtain information
used to determine whether an annuity
reduction is in order. Completion of the
forms is voluntary. However, failure to
complete the forms could result in the
nonpayment of benefits. One response is
requested of each respondent.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (79 FR 676 on January 6,
2014) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
Information Collection Request (ICR)
Title: Public Service Pension
Questionnaires.
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Federal Register / Vol. 79, No. 57 / Tuesday, March 25, 2014 / Notices
OMB Control Number: 3220–0136.
Forms submitted: G–208 and G–212.
Type of request: Extension without
change of a currently approved
collection.
Affected public: Individuals or
Households.
Abstract: A spouse or survivor
annuity under the Railroad Retirement
Act may be subjected to a reduction for
a public service pension. The
questionnaires obtain information
needed to determine if the reduction
applies and the amount of such
reduction.
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)
G–208 ..........................................................................................................................................
G–212 ..........................................................................................................................................
70
1,100
16
15
19.0
275.0
Total ......................................................................................................................................
1,170
........................
294.0
4. Title and purpose of information
collection: Representative Payee
Monitoring; OMB 3220–0151.
Under Section 12 of the Railroad
Retirement Act (RRA), the RRB may pay
annuity benefits to a representative
payee when an employee, spouse, or
survivor annuitant is incompetent or a
minor. The RRB is responsible for
determining if direct payment to an
annuitant or a representative payee
would best serve the annuitant’s best
interest. The accountability
requirements authorizing the RRB to
conduct periodic monitoring of
representative payees, including a
written accounting of benefit payments
received, are prescribed in 20 CFR
266.7. The RRB utilizes the following
forms to conduct its representative
payee monitoring program.
Form G–99a, Representative Payee
Report, is used to obtain information
needed to determine whether the benefit
payments certified to the representative
payee have been used for the
annuitant’s current maintenance and
personal needs and whether the
representative payee continues to be
concerned with the annuitant’s welfare.
RRB Form G–99c, Representative Payee
Evaluation Report, is used to obtain
more detailed information from a
representative payee who fails to
complete and return Form G–99a or in
situations when the returned Form G–
99a indicates the possible misuse of
funds by the representative payee. Form
G–99c contains specific questions
concerning the representative payee’s
performance and is used by the RRB to
determine whether or not the
representative payee should continue in
that capacity. Completion of the forms
in this collection is required to retain
benefits.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (79 FR 416 on January 3,
2014) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
Information Collection Request (ICR)
Title: Representative Payee
Monitoring.
OMB Control Number: 3220–0151.
Forms submitted: G–99a and G–99c.
Type of request: Revision of a
currently approved collection.
Affected public: Individuals or
Households.
Abstract: Under Section 12(a) of the
Railroad Retirement Act, the RRB is
authorized to select, make payments to,
and conduct transactions with an
annuitant’s relative or some other
person willing to act on behalf of the
annuitant as representative payee. The
collection obtains information needed to
determine if a representative payee is
handling benefit payments in the best
interest of the annuitant.
Changes proposed: Consistent with 20
CFR 266.4(g), which states that ‘‘the
RRB may consider whether a
representative payee has ever been
convicted of a felony or a misdemeanor
under the statutes of the Board or the
Social Security Act, or convicted of a
felony under any other Federal or state
law’’ the RRB proposes the deletion of
the limiting phrase ‘‘within the past 15
years’’ from Forms G–99a and G–99c.
Other minor editorial changes are also
proposed to both forms.
The burden estimate for the ICR is as
follows:
Annual
responses
Form No.
Time
(minutes)
Burden
(hours)
5,400
300
120
18
24
31
1,620
120
62
Total ......................................................................................................................................
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G–99a (legal and all other, excepting parent for child) ...............................................................
G–99c (Parts I and II) ..................................................................................................................
G–99c (Parts I, II, and III) ............................................................................................................
5,820
........................
1,802
5. Title and purpose of information
collection: Report of Medicaid State
Office on Beneficiary’s Buy-In Status;
OMB 3220–0185.
Under Section 7(d) of the Railroad
Retirement Act, the RRB administers the
Medicare program for persons covered
by the railroad retirement system. Under
Section 1843 of the Social Security Act,
states may enter into ‘‘buy-in
agreements’’ with the Secretary of
Health and Human Services for the
VerDate Mar<15>2010
18:16 Mar 24, 2014
Jkt 232001
purpose of enrolling certain groups of
low-income individuals under the
Medicare medical insurance (Part B)
program and paying the premiums for
their insurance coverage. Generally,
these individuals are categorically
needy under Medicaid and meet the
eligibility requirements for Medicare
Part B. States can also include in their
buy-in agreements, individuals who are
eligible for medical assistance only. The
RRB uses Form RL–380–F, Report to
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Frm 00108
Fmt 4703
Sfmt 4703
State Medicaid Office, to obtain
information needed to determine if
certain railroad beneficiaries are entitled
to receive Supplementary Medical
Insurance program coverage under a
state buy-in agreement in states in
which they reside. Completion of Form
RL–380–F is voluntary. One response is
received from each respondent.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (79 FR 676 on January 6,
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Federal Register / Vol. 79, No. 57 / Tuesday, March 25, 2014 / Notices
2014) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
Information Collection Request (ICR)
Title: Report of Medicaid State Office
on Beneficiary’s Buy-In Status.
OMB Control Number: 3220–0185.
Forms submitted: RL–380–F.
Type of request: Extension without
change of a currently approved
collection.
Affected public: State, Local, and
Tribal Governments.
Abstract: Under the Railroad
Retirement Act, the Railroad Retirement
Board administers the Medicare
program for persons covered by the
railroad retirement system. The
collection obtains the information
needed to determine if certain railroad
beneficiaries are entitled to receive
Supplemental Medical Insurance
program coverage under a state buy-in
agreement in states in which they
reside.
Changes proposed: The RRB proposes
no changes to Form RL–380–F.
The burden estimate for the ICR is as
follows:
Form No.
Annual
responses
Time
(minutes)
Burden
(hours)
RL–380–F ....................................................................................................................................
600
10
100
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. 2014–06500 Filed 3–24–14; 8:45 am]
BILLING CODE 7905–01–P
SECURITIES AND EXCHANGE
COMMISSION
[Release No. IC–30985; File No. 812–14134]
PennantPark Investment Corp., et al.;
Notice of Application
March 19, 2014.
Securities and Exchange
Commission (‘‘Commission’’).
ACTION: Notice of application for an
order under sections 17(d) and 57(i) of
the Investment Company Act of 1940
(the ‘‘Act’’) and rule 17d-1 under the
Act to permit certain joint transactions
otherwise prohibited by sections 17(d)
and 57(a)(4) of the Act and rule 17d-1
under the Act.
emcdonald on DSK67QTVN1PROD with NOTICES
AGENCY:
Summary of Application: Applicants
request an order to permit business
development companies (each, a
‘‘BDC’’) and certain closed-end
management investment companies to
co-invest in portfolio companies with
each other and with affiliated
investment funds.
Applicants: PennantPark Investment
Corporation (‘‘PNNT’’), PennantPark
Floating Rate Capital Ltd. (‘‘PFLT’’),
VerDate Mar<15>2010
18:16 Mar 24, 2014
Jkt 232001
PennantPark Floating Rate Capital
Funding I, LLC (‘‘Funding I’’),
PennantPark SBIC LP (‘‘SBIC I’’),
PennantPark SBIC II LP (‘‘SBIC II’’),
PennantPark Credit Opportunities Fund,
LP (‘‘PCOF’’) and PennantPark
Investment Advisers, LLC (the
‘‘Adviser’’).
Filing Dates: The application was filed
on March 15, 2013, and amended on
August 7, 2013, December 5, 2013 and
March 5, 2014. Applicants have agreed
to file an amendment during the notice
period, the substance of which is
reflected in this notice.
Hearing or Notification of Hearing: An
order granting the requested relief will
be issued unless the Commission orders
a hearing. Interested persons may
request a hearing by writing to the
Commission’s Secretary and serving
applicants with a copy of the request,
personally or by mail. Hearing requests
should be received by the Commission
by 5:30 p.m. on April 14, 2014, and
should be accompanied by proof of
service on applicants, in the form of an
affidavit or, for lawyers, a certificate of
service. Hearing requests should state
the nature of the writer’s interest, the
reason for the request, and the issues
contested. Persons who wish to be
notified of a hearing may request
notification by writing to the
Commission’s Secretary.
ADDRESSES: Secretary, U.S. Securities
and Exchange Commission, 100 F St.
NE., Washington, DC 20549–1090.
Applicants: 590 Madison Avenue, 15th
Floor, New York, NY 10022.
FOR FURTHER INFORMATION CONTACT:
Laura L. Solomon, Senior Counsel, at
(202) 551–6915 or Daniele Marchesani,
Branch Chief, at (202) 551–6821 (Chief
Counsel’s Office, Division of Investment
Management).
SUPPLEMENTARY INFORMATION: The
following is a summary of the
application. The complete application
may be obtained via the Commission’s
PO 00000
Frm 00109
Fmt 4703
Sfmt 4703
Web site by searching for the file
number, or for an applicant using the
Company name box, at https://
www.sec.gov/search/search.htm or by
calling (202) 551–8090.
Applicants’ Representations
1. PNNT and PFLT are Maryland
corporations organized as closed-end
management investment companies that
have elected to be regulated as BDCs
under the Act (together, the
‘‘PennantPark BDCs’’).1 PNNT’s
Objectives and Strategies 2 are to
generate both current income and
capital appreciation through debt and
equity investments. PNNT invests
primarily in U.S. middle-market
companies in the form of senior secured
loans, mezzanine debt and equity
investments. PFLT’s Objectives and
Strategies are to generate current income
and capital appreciation by investing
primarily in floating rate loans and
other investments made to U.S. private
middle-market companies. A majority of
the directors of each of PNNT and PFLT
are not ‘‘interested persons’’ as defined
in section 2(a)(19) of the Act of PNNT
and PFLT, respectively (‘‘Independent
Directors’’).
2. PCOF is a limited partnership
organized under Delaware law and is
excluded from the definition of
investment company under section
3(c)(7) of the Act. PCOF’s investment
objectives are capital preservation,
income generation and capital
1 Section 2(a)(48) defines a BDC to be any closedend investment company that operates for the
purpose of making investments in securities
described in sections 55(a)(1) through 55(a)(3) of the
Act and makes available significant managerial
assistance with respect to the issuers of such
securities.
2 ‘‘Objectives and Strategies’’ means a Regulated
Fund’s (defined below) investment objectives and
strategies as described in the Regulated Fund’s
registration statement on Form N–2, other filings
the Regulated Fund has made with the Commission
under the Securities Act of 1933 (‘‘Securities Act’’),
or under the Securities Exchange Act of 1934, and
the Regulated Fund’s reports to stockholders.
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]]>Agencies
[Federal Register Volume 79, Number 57 (Tuesday, March 25, 2014)]
[Notices]
[Pages 16381-16384]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-06500]
=======================================================================
-----------------------------------------------------------------------
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.
1. Title and purpose of information collection: Application and
Claim for Unemployment Benefits and Employment Service; OMB 3220-0022.
Section 2 of the Railroad Unemployment Insurance Act (RUIA),
provides unemployment benefits for qualified railroad employees. These
benefits are generally payable for each day of unemployment in excess
of four during a registration period (normally a period of 14 days).
Section 12 of the RUIA provides that the RRB establish, maintain
and operate free employment facilities directed toward the reemployment
of railroad employees. The procedures for applying for the unemployment
benefits and employment service and for registering and claiming the
benefits are prescribed in 20 CFR 325.
The RRB utilizes the following forms to collect the information
necessary to pay unemployment benefits: Form UI-1 (or its Internet
equivalent, Form UI-1 (Internet)), Application for Unemployment
Benefits and Employment Service, is completed by a claimant for
unemployment benefits once in a benefit year, at the time of first
registration. Completion of Form UI-1 or UI-1 (Internet) also registers
an unemployment claimant for the RRB's employment service.
The RRB also utilizes Form UI-3, (or its Internet equivalent Form
UI-3 (Internet)) Claim for Unemployment Benefits for use in claiming
unemployment benefits for days of unemployment in a particular
registration period, normally a period of 14 days.
Completion of Forms UI-1, UI-1 (Internet), UI-3 and UI-3 (Internet)
is required to obtain or retain benefits. The number of responses
required of each claimant varies, depending on their period of
unemployment.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (79 FR 415 on January 3, 2014) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Application and Claim for Unemployment Benefits and
Employment Service.
OMB Control Number: 3220-0022.
Forms submitted: UI-1, UI-1 (Internet), UI-3, UI-3 (Internet).
Type of request: Extension without change of a currently approved
collection.
Affected public: Individuals or Households.
Abstract: Under Section 2 of the Railroad Unemployment Insurance
Act, unemployment benefits are provided for qualified railroad
employees. The collection obtains the information needed to determine
the eligibility to and amount of such benefits for railroad employees.
Changes proposed: The RRB proposes no changes to the forms in the
collection.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
UI-1............................................................ 6,817 10 1,136
UI-1 (Internet)................................................. 3,490 10 582
UI-3............................................................ 51,996 6 5,200
[[Page 16382]]
UI-3 (Internet)................................................. 36,286 6 3,629
-----------------------------------------------
Total....................................................... 98,589 .............. 10,547
----------------------------------------------------------------------------------------------------------------
2. Title and purpose of information collection: Railroad
Unemployment Insurance Act Applications; OMB 3220-0039.
Under Section 2 of the Railroad Unemployment Insurance Act (RUIA),
sickness benefits are payable to qualified railroad employees who are
unable to work because of illness or injury. In addition, sickness
benefits are payable to qualified female employees if they are unable
to work, or if working would be injurious, because of pregnancy,
miscarriage, or childbirth. Under Section 1(k) of the RUIA, a statement
of sickness for the days the employee was sick and not able to work, is
to be filed with the RRB within a 10-day period from the first day
claimed as a day of sickness. The RRB's authority for requesting
supplemental medical information is Sections 12(i) and 12(n) of the
RUIA. The procedures for claiming sickness benefits and for the RRB to
obtain supplemental medical information needed to determine a
claimant's eligibility for such benefits are prescribed in 20 CFR Part
335.
The forms currently used by the RRB to obtain information needed to
determine eligibility for and the amount of sickness benefits due a
claimant are as follows: Form SI-1A, Application for Sickness Benefits;
Form SI-1b, Statement of Sickness; Form SI-3, Claim for Sickness
Benefits; Form SI-7, Supplemental Doctor's Statement; Form SI-8,
Verification of Medical Information; Form ID-7H, Non-Entitlement to
Sickness Benefits and Information on Unemployment Benefits; Form ID-
11A, Notice of Late Filing; and Form ID-11B, Notice of Insufficient
Medical and Late Filing. Completion is required to obtain or retain
benefits. One response is requested of each respondent.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (78 57421 on September 18, 2013) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Railroad Unemployment Insurance Act Applications.
OMB Control Number: 3220-0039.
Form(s) submitted: SI-1a, SI-1b, SI-3, SI-3 (Internet), SI-7, SI-8,
ID-7H, ID-11A and ID-11B.
Type of request: Revision of a currently approved collection.
Affected public: Individuals or Households.
Abstract: Under Section 2 of the Railroad Unemployment Insurance
Act, sickness benefits are payable to qualified railroad employees who
are unable to work because of illness or injury. The collection obtains
information from railroad employees and physicians needed to determine
eligibility to and the amount of such benefits.
Changes proposed: The RRB proposes to delete Forms ID-7H and ID-11B
from the information collection due to less than ten responses per
year.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
--------------------------------------------------------------------------------------------------
SI-1a (Employee).................................. 16,000 10 2,667
SI-1b (Doctor).................................... 16,000 8 2,133
SI-3 (Manual)..................................... 126,490 5 10,541
SI-3 (Internet)................................... 33,443 5 2,787
SI-7.............................................. 21,472 8 2,863
SI-8.............................................. 26 5 2
ID-11A............................................ 518 4 35
-------------------------------------------------------------
Total......................................... 213,949 .............. 21,028
----------------------------------------------------------------------------------------------------------------
3. Title and purpose of information collection: Public Service
Pension Questionnaires; OMB 3220-0136.
Public Law 95-216 amended the Social Security Act of 1977 by
providing, in part, that spouse or survivor benefits may be reduced
when the beneficiary is in receipt of a pension based on employment
with a Federal, State, or local governmental unit. Initially, the
reduction was equal to the full amount of the government pension.
Public Law 98-21 changed the reduction to two-thirds of the amount
of the government pension. Public Law 108-203 amended the Social
Security Act by changing the requirement for exemption to public
service offset, that Federal Insurance Contributions Act (FICA) taxes
be deducted from the public service wages for the last 60 months of
public service employment, rather than just the last day of public
service employment.
Sections 4(a)(1) and 4(f)(1) of the Railroad Retirement Act (RRA)
provides that a spouse or survivor annuity should be equal in amount to
what the annuitant would receive if entitled to a like benefit from the
Social Security Administration. Therefore, the public service pension
(PSP) provisions apply to RRA annuities. RRB regulations pertaining to
the collection of evidence relating to public service pensions or
worker's compensation paid to spouse or survivor applicants or
annuitants are found in 20 CFR 219.64c.
The RRB utilizes Form G-208, Public Service Pension Questionnaire,
and Form G-212, Public Service Monitoring Questionnaire, to obtain
information used to determine whether an annuity reduction is in order.
Completion of the forms is voluntary. However, failure to complete the
forms could result in the nonpayment of benefits. One response is
requested of each respondent.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (79 FR 676 on January 6, 2014) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Public Service Pension Questionnaires.
[[Page 16383]]
OMB Control Number: 3220-0136.
Forms submitted: G-208 and G-212.
Type of request: Extension without change of a currently approved
collection.
Affected public: Individuals or Households.
Abstract: A spouse or survivor annuity under the Railroad
Retirement Act may be subjected to a reduction for a public service
pension. The questionnaires obtain information needed to determine if
the reduction applies and the amount of such reduction.
Changes proposed: The RRB proposes no changes to the forms in the
collection.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
G-208........................................................... 70 16 19.0
G-212........................................................... 1,100 15 275.0
-----------------------------------------------
Total....................................................... 1,170 .............. 294.0
----------------------------------------------------------------------------------------------------------------
4. Title and purpose of information collection: Representative
Payee Monitoring; OMB 3220-0151.
Under Section 12 of the Railroad Retirement Act (RRA), the RRB may
pay annuity benefits to a representative payee when an employee,
spouse, or survivor annuitant is incompetent or a minor. The RRB is
responsible for determining if direct payment to an annuitant or a
representative payee would best serve the annuitant's best interest.
The accountability requirements authorizing the RRB to conduct periodic
monitoring of representative payees, including a written accounting of
benefit payments received, are prescribed in 20 CFR 266.7. The RRB
utilizes the following forms to conduct its representative payee
monitoring program.
Form G-99a, Representative Payee Report, is used to obtain
information needed to determine whether the benefit payments certified
to the representative payee have been used for the annuitant's current
maintenance and personal needs and whether the representative payee
continues to be concerned with the annuitant's welfare. RRB Form G-99c,
Representative Payee Evaluation Report, is used to obtain more detailed
information from a representative payee who fails to complete and
return Form G-99a or in situations when the returned Form G-99a
indicates the possible misuse of funds by the representative payee.
Form G-99c contains specific questions concerning the representative
payee's performance and is used by the RRB to determine whether or not
the representative payee should continue in that capacity. Completion
of the forms in this collection is required to retain benefits.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (79 FR 416 on January 3, 2014) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Representative Payee Monitoring.
OMB Control Number: 3220-0151.
Forms submitted: G-99a and G-99c.
Type of request: Revision of a currently approved collection.
Affected public: Individuals or Households.
Abstract: Under Section 12(a) of the Railroad Retirement Act, the
RRB is authorized to select, make payments to, and conduct transactions
with an annuitant's relative or some other person willing to act on
behalf of the annuitant as representative payee. The collection obtains
information needed to determine if a representative payee is handling
benefit payments in the best interest of the annuitant.
Changes proposed: Consistent with 20 CFR 266.4(g), which states
that ``the RRB may consider whether a representative payee has ever
been convicted of a felony or a misdemeanor under the statutes of the
Board or the Social Security Act, or convicted of a felony under any
other Federal or state law'' the RRB proposes the deletion of the
limiting phrase ``within the past 15 years'' from Forms G-99a and G-
99c. Other minor editorial changes are also proposed to both forms.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
G-99a (legal and all other, excepting parent for child)......... 5,400 18 1,620
G-99c (Parts I and II).......................................... 300 24 120
G-99c (Parts I, II, and III).................................... 120 31 62
-----------------------------------------------
Total....................................................... 5,820 .............. 1,802
----------------------------------------------------------------------------------------------------------------
5. Title and purpose of information collection: Report of Medicaid
State Office on Beneficiary's Buy-In Status; OMB 3220-0185.
Under Section 7(d) of the Railroad Retirement Act, the RRB
administers the Medicare program for persons covered by the railroad
retirement system. Under Section 1843 of the Social Security Act,
states may enter into ``buy-in agreements'' with the Secretary of
Health and Human Services for the purpose of enrolling certain groups
of low-income individuals under the Medicare medical insurance (Part B)
program and paying the premiums for their insurance coverage.
Generally, these individuals are categorically needy under Medicaid and
meet the eligibility requirements for Medicare Part B. States can also
include in their buy-in agreements, individuals who are eligible for
medical assistance only. The RRB uses Form RL-380-F, Report to State
Medicaid Office, to obtain information needed to determine if certain
railroad beneficiaries are entitled to receive Supplementary Medical
Insurance program coverage under a state buy-in agreement in states in
which they reside. Completion of Form RL-380-F is voluntary. One
response is received from each respondent.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (79 FR 676 on January 6,
[[Page 16384]]
2014) required by 44 U.S.C. 3506(c)(2). That request elicited no
comments.
Information Collection Request (ICR)
Title: Report of Medicaid State Office on Beneficiary's Buy-In
Status.
OMB Control Number: 3220-0185.
Forms submitted: RL-380-F.
Type of request: Extension without change of a currently approved
collection.
Affected public: State, Local, and Tribal Governments.
Abstract: Under the Railroad Retirement Act, the Railroad
Retirement Board administers the Medicare program for persons covered
by the railroad retirement system. The collection obtains the
information needed to determine if certain railroad beneficiaries are
entitled to receive Supplemental Medical Insurance program coverage
under a state buy-in agreement in states in which they reside.
Changes proposed: The RRB proposes no changes to Form RL-380-F.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
RL-380-F..................................................... 600 10 100
----------------------------------------------------------------------------------------------------------------
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. 2014-06500 Filed 3-24-14; 8:45 am]
BILLING CODE 7905-01-P
