Agency Forms Submitted for OMB Review, Request for Comments, 78505-78507 [2014-30497]

Download as PDF Federal Register / Vol. 79, No. 249 / Tuesday, December 30, 2014 / Notices POSTAL SERVICE Product Change—Priority Mail Express Negotiated Service Agreement Postal ServiceTM. Notice. AGENCY: ACTION: 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: December 30, 2014. SUMMARY: 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 December 22, 2014, it filed with the Postal Regulatory Commission a Request of the United States Postal Service to Add Priority Mail Express Contract 25 to Competitive Product List. Documents are available at www.prc.gov, Docket Nos. MC2015–22, CP2015–28. SUPPLEMENTARY INFORMATION: Stanley F. Mires, Attorney, Federal Requirements. [FR Doc. 2014–30425 Filed 12–29–14; 8:45 am] BILLING CODE 7710–12–P RAILROAD RETIREMENT BOARD 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 an forwarding 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 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 mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: VerDate Sep<11>2014 21:42 Dec 29, 2014 Jkt 235001 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: Railroad Service and Compensation Reports/System Access Application; OMB 3220–0008. Under Section 9 of the Railroad Retirement Act (RRA) and Section 6 of the Railroad Unemployment Insurance Act (RUIA) the Railroad Retirement Board (RRB) maintains for each railroad employee, a record of compensation paid to that employee by all railroad employers for whom the employee worked after 1936. This record, which is used by the RRB to determine eligibility for, and amount of, benefits due under the laws it administers, is conclusive as to the amount of compensation paid to an employee during such period(s) covered by the report(s) of the compensation by the employee’s railroad employer(s), except in cases when an employee files a protest pertaining to his or her reported compensation within the statute of limitations cited in Section 9 of the RRA and Section 6 of the RUIA. To enable the RRB to establish and maintain the record of compensation, employers are required to file with the RRB, reports of their employees’ compensation, in such manner and form and at such times as the RRB prescribes. Railroad employers’ reports and responsibilities are prescribed in 20 CFR 209. The RRB currently utilizes Form BA–3, Annual Report of Creditable Compensation, and Form BA–4, Report of Creditable Compensation Adjustments, to secure the required information from railroad employers. Form BA–3 provides the RRB with information regarding annual creditable service and compensation for each individual who worked for a railroad employer covered by the RRA and RUIA in a given year. Form BA–4 provides for the adjustment of any previously submitted reports and also the opportunity to provide any service and compensation that had been previously omitted. Requirements specific to Forms BA–3 and BA–4 are prescribed in 20 CFR 209.8 and 209.9. Employers currently have the option of submitting BA–3 and BA–4 reports electronically by CD–ROM, File Transfer Protocol (FTP), secure Email, or online via the RRB’s Employer Reporting System (ERS). The information collection also includes RRB Form BA–12, Application for Employer Reporting Internet Access, and Form G–440, Report Specifications Sheet. Form BA–12 is completed by railroad employers to obtain system PO 00000 Frm 00125 Fmt 4703 Sfmt 4703 78505 access to ERS. Once access is obtained, authorized employees may submit reporting forms online to the RRB. The form determines what degree of access (view/only, data entry/modification or approval/submission) is appropriate for that employee. It is also used to terminate an employee’s access to ERS. Form G–440, Report Specifications Sheet, serves as a certification document for various RRB employer reporting forms (Form BA–3, Form BA–4, Form BA–6a, BA–6, Address Report (OMB 3220–0005), Form BA–9, Report of Separation Allowance or Severance Pay (OMB 3220–0173) and Form BA–11, Report of Gross Earnings (OMB 3220– 0132)). It records the type of medium the report was submitted on, and serves as a summary recapitulation sheet for reports filed on paper. Previous Requests for Comments: The RRB has already published the initial 60-day notice (79 FR 63652 on October 24, 2014) required by 44 U.S.C. 3506(c)(2). On November 25, 2014, the RRB received comments from the Department of Commerce’s Bureau of Economic Analysis (BEA), strongly supporting the RRB’s continued collection of the data on Forms BA–3 and BA–4 stating ‘‘these forms are our main data source for key components of BEA’s economic statistics.’’ Information Collection Request (ICR) Title: Railroad Service and Compensation Reports/System Access Application. OMB Control Number: 3220–0008. Form(s) submitted: BA–3, BA–3 (Internet), BA–4, BA–4 (Internet), BA– 12 and G–440. Type of request: Revision of a currently approved collection. Affected public: Private Sector; Businesses or other for-profits. Abstract: Under the Railroad Retirement Act and the Railroad Unemployment Insurance Act, employers are required to report service and compensation for each employee to update Railroad Retirement Board records for payments of benefits. The collection obtains service and compensation information and information needed to ensure secure system access from employers who voluntarily opt to use the RRB’s Internet-based Employer Reporting System to submit reporting forms and information needed to certify employer reporting transactions. Changes proposed: The RRB proposes to eliminate the paper version of Form BA–3 and to make minor non-burden impacting changes to Forms BA–12. The burden estimate for the ICR is as follows: E:\FR\FM\30DEN1.SGM 30DEN1 78506 Federal Register / Vol. 79, No. 249 / Tuesday, December 30, 2014 / Notices Responses Time (minutes) Burden (hours) BA–3: Electronic Media .................................................... BA–3 (Internet) ...................................................... ........................ 96 617 ....................................................................................... 46.25 (2,775 min) ......................................................... 46.25 (2,775 min) ......................................................... ........................ 4,440 28,536 Total BA–3 ..................................................... BA–4: Paper ..................................................................... Electronic Media .................................................... BA–4 (Internet) ...................................................... 713 ........................ 160 285 3,852 ....................................................................................... ....................................................................................... 1.25 (75 min) ................................................................ 1.00 (60 min) ................................................................ .33 (20 min) .................................................................. 32,976 ........................ 200 285 1,284 Total BA–4 ..................................................... BA–12: Initial Access ......................................................... Access Termination ............................................... 4,297 ........................ 295 38 ....................................................................................... ....................................................................................... .33 (20 min) .................................................................. .166 (10 min) ................................................................ 1,769 ........................ 98 6 Total BA–12 ................................................... G–440 (Certification): ................................................... Form BA–3 (zero employees) ............................... Form BA–11 (zero employees) ............................. Paper forms (without recap) .................................. Electronic transactions .......................................... BA–3 and BA–4 (with recap) ................................ 333 ........................ 19 60 7 94 125 ....................................................................................... ....................................................................................... .25 (15 min) .................................................................. .25 (15 min) .................................................................. .25 (15 min) .................................................................. .50 (30 min) .................................................................. 1.25 (75 min) ................................................................ 105 ........................ 5 15 2 47 156 Total G–440 ................................................... 305 ....................................................................................... 224 Grand Total ............................................. mstockstill on DSK4VPTVN1PROD with NOTICES Reporting 5,648 ....................................................................................... 35,074 2. Title and Purpose of information collection: Medical Reports; OMB 3220– 0038. Under sections 2(a)(1)(iv) and 2(a)(1)(v) of the Railroad Retirement Act (RRA), annuities are payable to qualified railroad employees whose physical or mental condition makes them unable to (1) work in their regular occupation (occupational disability) or (2) work at all (permanent total disability). The requirements for establishing disability and proof of continuing disability under the RRA are prescribed in 20 CFR 220. Under Sections 2(c)(1)(ii)(C) and 2(d)(1)(ii) of the RRA, annuities are also payable to qualified spouses and widow(er)s, respectively, who have a qualifying child who became disabled before age 22. Annuities are also payable to surviving children on the basis of disability under section 2(d)(1)(iii)(C) if the child’s disability began before age 22 as well as to widow(er)s on the basis of disability under section 2(d)(1)(i)(B). To meet the disability standard, the RRA provides that individuals must have a permanent physical or mental condition that makes them unable to engage in any regular employment. Under section 2(d)(1)(v) of the RRA, annuities are also payable to remarried widow(er)s and surviving divorced spouses on the basis of, among other things, disability or having a qualifying disabled child in care. However, the VerDate Sep<11>2014 21:42 Dec 29, 2014 Jkt 235001 disability standard in these cases is that found in the Social Security Act. That is, individuals must be unable to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment. The RRB also determines entitlement to a Period of Disability and entitlement to early Medicare based on disability for qualified claimants in accordance with Section 216 of the Social Security Act. When making disability determinations, the RRB needs evidence from acceptable medical sources. The RRB currently utilizes Forms G–3EMP, Report of Medical Condition by Employer; G–197, Authorization to Release Medical Information to the Railroad Retirement Board; G–250, Medical Assessment; G–250A, Medical Assessment of Residual Functional Capacity; G–260, Report of Seizure Disorder; RL–11B, Disclosure of Hospital Medical Records; RL–11D, Disclosure of Medical Records from a State Agency; and RL–250, Request for Medical Assessment, to obtain the necessary medical evidence. One response is requested of each respondent. Completion is voluntary. Previous Requests for Comments: The RRB has already published the initial 60-day notice (79 FR 63653 on October 24, 2014) required by 44 U.S.C. 3506(c)(2). Information Collection Request (ICR) Title: Medical Reports. PO 00000 Frm 00126 Fmt 4703 Sfmt 4703 OMB Control Number: 3220–0038. Form(s) submitted: G–3EMP, G–197, G–250, G–250a, G–260, RL–11B, RL– 11D, RL–250. Type of request: Revision of a currently approved collection of information. Affected public: Individuals or households; Private Sector; State, Local and Tribal Government. Abstract: The Railroad Retirement Act provides disability annuities for qualified railroad employees whose physical or mental condition renders them incapable of working in their regular occupation (occupational disability) or any occupation (total disability). The medical reports obtain information needed for determining the nature and severity of the impairment. Changes proposed: The RRB proposes to add a fraud statement; request a doctor’s National Provider Number; and make other minor non-burden impacting editorial and cosmetic changes to Forms G–250, G–250A, and G–260. The RRB also proposes to revise Form G–197 to include authorization to disclose educational records from various sources, as well as make other minor non-burden impacting editorial changes. There are no proposed changes to Forms RL–11B, RL–11D, RL–250. The burden estimate for the ICR is as follows: E:\FR\FM\30DEN1.SGM 30DEN1 Federal Register / Vol. 79, No. 249 / Tuesday, December 30, 2014 / Notices Annual responses Form No. G–3EMP ...................................................................................................................................... G–197 .......................................................................................................................................... G–250 .......................................................................................................................................... G–250A ........................................................................................................................................ G–260 .......................................................................................................................................... RL–11B ........................................................................................................................................ RL–11D ........................................................................................................................................ RL–250 ........................................................................................................................................ 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. 2014–30497 Filed 12–29–14; 8:45 am] BILLING CODE 7905–01–P SECURITIES AND EXCHANGE COMMISSION [Release No. 34–73911; File No. 10–214] Automated Matching Systems Exchange, LLC; Notice of Filing of Amendment No. 1 to an Application for Limited Volume Exemption From Registration as a National Securities Exchange Under Section 5 of the Securities Exchange Act of 1934 mstockstill on DSK4VPTVN1PROD with NOTICES December 22, 2014. On July 7, 2014, Automated Matching Systems Exchange, LLC (‘‘AMSE’’) submitted to the Securities and Exchange Commission (‘‘SEC’’ or ‘‘Commission’’) an application seeking a limited volume exemption under Section 5 of the Securities Exchange Act (‘‘Exchange Act’’) from registration as a national securities exchange under Section 6 of the Exchange Act.1 Notice of AMSE’s exemption application was published for comment in the Federal Register on July 29, 2014.2 On October 23, 2014, the Commission issued an 1 The Commission notes that AMSE’s application only seeks a limited volume exemption under Section 5 of the Exchange Act from registration as a national securities exchange under Section 6 of the Exchange Act. AMSE’s application does not seek to register as a national securities exchange. 2 See Securities Exchange Act Release No. 72661 (July 23, 2014), 79 FR 44070 (‘‘Notice’’). VerDate Sep<11>2014 22:38 Dec 29, 2014 Jkt 235001 order instituting proceedings to determine whether to grant or deny AMSE’s exemption application.3 On November 10, 2014, AMSE submitted Amendment No. 1 to its exemption application. The Commission is publishing this notice in order to solicit views of interested persons on AMSE’s exemption application as amended by Amendment No. 1. I. Description of AMSE’s System AMSE proposes to conduct business in reliance upon an exemption from registration as a national securities exchange pursuant to Section 5 of the Exchange Act.4 In general, AMSE seeks to operate as an exchange for alternative trading systems.5 AMSE proposes to operate solely on an ‘‘off-order-book’’ trading basis. AMSE does not intend to have a physical exchange trading floor, centralized order book, or specialists or market makers with affirmative and negative market making obligations. Each member of AMSE would maintain its own automated matching system or electronic order book. Each member of AMSE would adopt its own rules governing the execution and priority of orders on its system. Trades would occur when an order to buy and an order to sell match on a member’s electronic order book. Each member would report its transactions to AMSE at such intervals as required by AMSE. II. Amendment No. 1 to AMSE’s Exemption Application On November 10, 2014, AMSE submitted Amendment No. 1 to its exemption application. AMSE has represented that the only substantive change to its exemption application made by Amendment No. 1 is the 3 See Securities Exchange Act Release No. 73419 (October 23, 2014), 79 FR 64421 (October 29, 2014) (‘‘Order Instituting Proceedings’’). 4 15 U.S.C. 78e. 5 For more detail on AMSE’s proposed system, see AMSE’s full amended exemption application and exhibits, which are published with this notice on the Commission’s Web site at http:// www.sec.gov/rules/other.shtml. PO 00000 Frm 00127 Fmt 4703 Sfmt 4703 600 6,000 11,950 50 100 5,000 250 11,950 35,900 Time (minutes) 10 10 30 20 25 10 10 10 ........................ 78507 Burden (hours) 100 1,000 5,975 17 42 833 42 1,992 10,001 addition of the following paragraph to Exhibit E: 6 The Exchange will bring together orders for multiple buyers and sellers and such will be done by the use of consolidated quotation systems which effect transactions for multiple buyers and sellers. The consolidated quotation systems will display, or otherwise represent, trading interests entered on the AMSE system to its system users. AMSE may use a centralized order router which would match trading interests on the electronic order book of one member with the trading interests on the electronic order book of a second member. III. Additional Grounds for Denial Under Consideration In the Order Instituting Proceedings, the Commission provided notice of the grounds for denial under consideration.7 Specifically, the Commission noted that it was concerned that AMSE’s exemption application does not meet a key threshold requirement for being granted an exemption from exchange registration—namely, that the applicant actually be an ‘‘exchange’’ as defined under Section 3(a)(1) of the Exchange Act and Rule 3b–16 thereunder.8 The Commission continues to have this concern. The Commission is providing notice of additional grounds for denial under consideration. Specifically, the Commission is concerned that it would not be necessary or appropriate in the public interest or for the protection of investors to grant a limited volume exemption under Section 5 of the Exchange Act because it appears from the exemption application that the operation of the proposed exchange would be inconsistent with the Exchange Act. 6 See email from Michael Stegawski, Chief Regulatory Officer, AMSE, to SEC staff, dated November 14, 2014. 7 See Order Instituting Proceedings, supra note 3, at 64422. 8 See Regulation ATS Adopting Release, 63 FR at 70898–70901 (discussing the Commission’s revised interpretation of the ‘‘exchange’’ definition). Among other things, the Commission stated that ‘‘the first essential element of an exchange is the bringing together of orders of multiple buyers and sellers.’’ Id. at 70900. E:\FR\FM\30DEN1.SGM 30DEN1

Agencies

[Federal Register Volume 79, Number 249 (Tuesday, December 30, 2014)]
[Notices]
[Pages 78505-78507]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-30497]


=======================================================================
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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 an 
forwarding 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 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: Railroad Service 
and Compensation Reports/System Access Application; OMB 3220-0008.
    Under Section 9 of the Railroad Retirement Act (RRA) and Section 6 
of the Railroad Unemployment Insurance Act (RUIA) the Railroad 
Retirement Board (RRB) maintains for each railroad employee, a record 
of compensation paid to that employee by all railroad employers for 
whom the employee worked after 1936. This record, which is used by the 
RRB to determine eligibility for, and amount of, benefits due under the 
laws it administers, is conclusive as to the amount of compensation 
paid to an employee during such period(s) covered by the report(s) of 
the compensation by the employee's railroad employer(s), except in 
cases when an employee files a protest pertaining to his or her 
reported compensation within the statute of limitations cited in 
Section 9 of the RRA and Section 6 of the RUIA.
    To enable the RRB to establish and maintain the record of 
compensation, employers are required to file with the RRB, reports of 
their employees' compensation, in such manner and form and at such 
times as the RRB prescribes. Railroad employers' reports and 
responsibilities are prescribed in 20 CFR 209. The RRB currently 
utilizes Form BA-3, Annual Report of Creditable Compensation, and Form 
BA-4, Report of Creditable Compensation Adjustments, to secure the 
required information from railroad employers. Form BA-3 provides the 
RRB with information regarding annual creditable service and 
compensation for each individual who worked for a railroad employer 
covered by the RRA and RUIA in a given year. Form BA-4 provides for the 
adjustment of any previously submitted reports and also the opportunity 
to provide any service and compensation that had been previously 
omitted. Requirements specific to Forms BA-3 and BA-4 are prescribed in 
20 CFR 209.8 and 209.9.
    Employers currently have the option of submitting BA-3 and BA-4 
reports electronically by CD-ROM, File Transfer Protocol (FTP), secure 
Email, or online via the RRB's Employer Reporting System (ERS).
    The information collection also includes RRB Form BA-12, 
Application for Employer Reporting Internet Access, and Form G-440, 
Report Specifications Sheet. Form BA-12 is completed by railroad 
employers to obtain system access to ERS. Once access is obtained, 
authorized employees may submit reporting forms online to the RRB. The 
form determines what degree of access (view/only, data entry/
modification or approval/submission) is appropriate for that employee. 
It is also used to terminate an employee's access to ERS. Form G-440, 
Report Specifications Sheet, serves as a certification document for 
various RRB employer reporting forms (Form BA-3, Form BA-4, Form BA-6a, 
BA-6, Address Report (OMB 3220-0005), Form BA-9, Report of Separation 
Allowance or Severance Pay (OMB 3220-0173) and Form BA-11, Report of 
Gross Earnings (OMB 3220-0132)). It records the type of medium the 
report was submitted on, and serves as a summary recapitulation sheet 
for reports filed on paper.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (79 FR 63652 on October 24, 2014) required by 44 
U.S.C. 3506(c)(2). On November 25, 2014, the RRB received comments from 
the Department of Commerce's Bureau of Economic Analysis (BEA), 
strongly supporting the RRB's continued collection of the data on Forms 
BA-3 and BA-4 stating ``these forms are our main data source for key 
components of BEA's economic statistics.''

Information Collection Request (ICR)

    Title: Railroad Service and Compensation Reports/System Access 
Application.
    OMB Control Number: 3220-0008.
    Form(s) submitted: BA-3, BA-3 (Internet), BA-4, BA-4 (Internet), 
BA-12 and G-440.
    Type of request: Revision of a currently approved collection.
    Affected public: Private Sector; Businesses or other for-profits.
    Abstract: Under the Railroad Retirement Act and the Railroad 
Unemployment Insurance Act, employers are required to report service 
and compensation for each employee to update Railroad Retirement Board 
records for payments of benefits. The collection obtains service and 
compensation information and information needed to ensure secure system 
access from employers who voluntarily opt to use the RRB's Internet-
based Employer Reporting System to submit reporting forms and 
information needed to certify employer reporting transactions.
    Changes proposed: The RRB proposes to eliminate the paper version 
of Form BA-3 and to make minor non-burden impacting changes to Forms 
BA-12.
    The burden estimate for the ICR is as follows:

[[Page 78506]]



----------------------------------------------------------------------------------------------------------------
                                                                                                      Burden
                   Reporting                       Responses             Time  (minutes)              (hours)
----------------------------------------------------------------------------------------------------------------
BA-3:                                           ..............  ................................  ..............
    Electronic Media..........................              96  46.25 (2,775 min)...............           4,440
    BA-3 (Internet)...........................             617  46.25 (2,775 min)...............          28,536
                                               -----------------------------------------------------------------
        Total BA-3............................             713  ................................          32,976
BA-4:                                           ..............  ................................  ..............
    Paper.....................................             160  1.25 (75 min)...................             200
    Electronic Media..........................             285  1.00 (60 min)...................             285
    BA-4 (Internet)...........................           3,852  .33 (20 min)....................           1,284
                                               -----------------------------------------------------------------
        Total BA-4............................           4,297  ................................           1,769
BA-12:                                          ..............  ................................  ..............
    Initial Access............................             295  .33 (20 min)....................              98
    Access Termination........................              38  .166 (10 min)...................               6
                                               -----------------------------------------------------------------
        Total BA-12...........................             333  ................................             105
G-440 (Certification):........................  ..............  ................................  ..............
    Form BA-3 (zero employees)................              19  .25 (15 min)....................               5
    Form BA-11 (zero employees)...............              60  .25 (15 min)....................              15
    Paper forms (without recap)...............               7  .25 (15 min)....................               2
    Electronic transactions...................              94  .50 (30 min)....................              47
    BA-3 and BA-4 (with recap)................             125  1.25 (75 min)...................             156
                                               -----------------------------------------------------------------
        Total G-440...........................             305  ................................             224
                                               -----------------------------------------------------------------
            Grand Total.......................           5,648  ................................          35,074
----------------------------------------------------------------------------------------------------------------

    2. Title and Purpose of information collection: Medical Reports; 
OMB 3220-0038.
    Under sections 2(a)(1)(iv) and 2(a)(1)(v) of the Railroad 
Retirement Act (RRA), annuities are payable to qualified railroad 
employees whose physical or mental condition makes them unable to (1) 
work in their regular occupation (occupational disability) or (2) work 
at all (permanent total disability). The requirements for establishing 
disability and proof of continuing disability under the RRA are 
prescribed in 20 CFR 220.
    Under Sections 2(c)(1)(ii)(C) and 2(d)(1)(ii) of the RRA, annuities 
are also payable to qualified spouses and widow(er)s, respectively, who 
have a qualifying child who became disabled before age 22. Annuities 
are also payable to surviving children on the basis of disability under 
section 2(d)(1)(iii)(C) if the child's disability began before age 22 
as well as to widow(er)s on the basis of disability under section 
2(d)(1)(i)(B). To meet the disability standard, the RRA provides that 
individuals must have a permanent physical or mental condition that 
makes them unable to engage in any regular employment.
    Under section 2(d)(1)(v) of the RRA, annuities are also payable to 
remarried widow(er)s and surviving divorced spouses on the basis of, 
among other things, disability or having a qualifying disabled child in 
care. However, the disability standard in these cases is that found in 
the Social Security Act. That is, individuals must be unable to engage 
in any substantial gainful activity by reason of any medically 
determinable physical or mental impairment. The RRB also determines 
entitlement to a Period of Disability and entitlement to early Medicare 
based on disability for qualified claimants in accordance with Section 
216 of the Social Security Act.
    When making disability determinations, the RRB needs evidence from 
acceptable medical sources. The RRB currently utilizes Forms G-3EMP, 
Report of Medical Condition by Employer; G-197, Authorization to 
Release Medical Information to the Railroad Retirement Board; G-250, 
Medical Assessment; G-250A, Medical Assessment of Residual Functional 
Capacity; G-260, Report of Seizure Disorder; RL-11B, Disclosure of 
Hospital Medical Records; RL-11D, Disclosure of Medical Records from a 
State Agency; and RL-250, Request for Medical Assessment, to obtain the 
necessary medical evidence. One response is requested of each 
respondent. Completion is voluntary.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (79 FR 63653 on October 24, 2014) required by 44 
U.S.C. 3506(c)(2).

Information Collection Request (ICR)

    Title: Medical Reports.
    OMB Control Number: 3220-0038.
    Form(s) submitted: G-3EMP, G-197, G-250, G-250a, G-260, RL-11B, RL-
11D, RL-250.
    Type of request: Revision of a currently approved collection of 
information.
    Affected public: Individuals or households; Private Sector; State, 
Local and Tribal Government.
    Abstract: The Railroad Retirement Act provides disability annuities 
for qualified railroad employees whose physical or mental condition 
renders them incapable of working in their regular occupation 
(occupational disability) or any occupation (total disability). The 
medical reports obtain information needed for determining the nature 
and severity of the impairment.
    Changes proposed: The RRB proposes to add a fraud statement; 
request a doctor's National Provider Number; and make other minor non-
burden impacting editorial and cosmetic changes to Forms G-250, G-250A, 
and G-260. The RRB also proposes to revise Form G-197 to include 
authorization to disclose educational records from various sources, as 
well as make other minor non-burden impacting editorial changes. There 
are no proposed changes to Forms RL-11B, RL-11D, RL-250.
    The burden estimate for the ICR is as follows:

[[Page 78507]]



----------------------------------------------------------------------------------------------------------------
                                                                      Annual           Time           Burden
                            Form No.                                 responses       (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
G-3EMP..........................................................             600              10             100
G-197...........................................................           6,000              10           1,000
G-250...........................................................          11,950              30           5,975
G-250A..........................................................              50              20              17
G-260...........................................................             100              25              42
RL-11B..........................................................           5,000              10             833
RL-11D..........................................................             250              10              42
RL-250..........................................................          11,950              10           1,992
                                                                          35,900  ..............          10,001
----------------------------------------------------------------------------------------------------------------

    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. 2014-30497 Filed 12-29-14; 8:45 am]
BILLING CODE 7905-01-P