Agency Forms Submitted for OMB Review, Request for Comments, 32636-32637 [2015-14096]
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Federal Register / Vol. 80, No. 110 / Tuesday, June 9, 2015 / Notices
benefits by a percentage of benefits (i.e.
Disability Annuitants, Children
Survivor Annuitants and Spousal
Survivor Annuitants) payable under
Title II of the Social Security Act. This
matching activity will enable OPM to
compute benefits at the correct rate and
determine eligibility for these benefits.
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C. Authority for Conducting the
Matching Program
Section 8461 (h) of title 5 of the
United States Code.
D. Categories of Records and
Individuals Covered by the Match
Under the matching program, OPM
will match SSA’s disability insurance
benefits (DIB) and payment date against
OPM’s records of retirees receiving a
FERS disability annuity. The purpose of
the matching program is to identify a
person receiving both a FERS disability
annuity and a DIB under section 223 of
the Social Security Act, 42 U.S.C. 423,
in order to apply OPM offsets. Under
FERS, 5 U.S.C. 8452(a)(2)(A), for any
month in which an annuitant is entitled
to both a FERS disability annuity and to
a DIB, the FERS annuity shall be
computed as follows: The FERS
disability annuity is reduced, for any
month during the first year after the
individual’s FERS disability annuity
commences or is restored, by 100% of
the individual’s assumed Social
Security DIB for such month, and, for
any month occurring during a period
other than the period described above,
by 60% of the individual’s assumed
Social Security DIB for such month.
OPM will provide SSA with an extract
from the Annuity Master File and from
pending claims snapshot records via the
File Transfer Management System
(FTMS). The extracted file will contain
identifying information concerning the
child survivor annuitant for whom OPM
needs information concerning receipt of
SSA child survivor benefits: full name,
Social Security Number, date of birth,
and type of information requested, as
required to extract data from the SSA
State Verification and Exchange System
Files for Title II records. Each record on
the OPM file will be matched to SSA’s
records to identify FERS child survivor
annuitants who are receiving SSA CIBs.
The SSA systems of records involved in
this CMA are the Master Files of Social
Security Number Holders and SSN
Applications (Numident), 60–0058 and
the MBR, 60–0090. OPM’s system of
records involved in this matching
program is designated OPM/Central–1,
Civil Service Retirement and Insurance
Records. For records from OPM/
Central–1, notice was provided by the
publication of the system of records in
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the Federal Register at 64 FR 54930
(Oct. 8, 1999), as amended at 73 FR
15013 (March 20, 2008).
OPM’s records of surviving spouses
who may be eligible to receive the FERS
Supplementary Annuity will be
matched against SSA’s mother or
father’s insurance benefit and/or
disabled widow(er)’s insurance benefit
records. If the surviving spouse is
receiving one of the above described
Social Security benefits, he or she is not
eligible to receive the FERS
Supplementary Annuity. FERS, 5 U.S.C.
8442 (f) provides that a survivor who is
entitled to a survivor’s annuity and who
meets certain other statutory
requirements shall also be entitled to a
Supplementary Annuity. To be eligible
to receive a Supplementary Annuity for
a given month, the surviving spouse of
a deceased FERS annuitant must be
eligible for a FERS survivor annuity, be
under age 60, be an individual who
would be entitled to widow’s or
widower’s insurance benefits under the
requirements of sections 202(e) and
402(f), based on the wages and self
employment survivor had attained age
60 and otherwise satisfied necessary
requirement for widow’s or widow(er’s)
insurance benefits. See 5 U.S.C
8442(f)(4)(B). The individual must not
be eligible for Social Security mother’s
or father’s insurance benefits or disabled
widow(er)’s insurance benefits based on
the deceased annuitant’s wages and
selfemployment income.
E. Privacy Safeguards and Security
The Privacy Act (5 U.S.C.
552a(o)(l)(G)) requires that each
matching agreement specify procedures
for ensuring the administrative,
technical, and physical security of the
records matched and the results of such
programs. All Federal agencies are
subject to: The Federal Information
Security Management Act of 2002
(FISMA) (44 U.S.C. 3541 et seq.); related
OMB circulars and memorandum (e.g.
OMB Circular A–130 and OMB M–06–
16); National Institute of Science and
Technology (NIST) directives; and the
Federal Acquisition Regulations (FAR).
These laws, circulars, memoranda,
directives and regulations include
requirements for safeguarding Federal
information systems and personally
identifiable information used in Federal
agency business processes, as well as
related reporting requirements. OPM
and SSA recognize that all laws,
circulars, memoranda, directives, and
regulations relating to the subject of this
agreement and published subsequent to
the effective date of this agreement must
also be implemented if mandated.
FISMA requirements apply to all
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Fmt 4703
Sfmt 4703
Federal contractors and organizations or
sources that process or use Federal
information, or that operate, use, or
have access to Federal information
systems on behalf of an agency. OPM
will be responsible for oversight and
compliance of their contractors and
agents. Both OPM and SSA reserve the
right to conduct onsite inspection to
monitor compliance with FISMA
regulations.
F. Inclusive Dates of the Match
The matching program shall become
effective upon signing of the agreement
by both parties to the agreement and
approval of the agreement by the Data
Integrity Boards of the respective
agencies, but no sooner than 40 days
after notice of the matching program is
sent to Congress and the Office of
Management and Budget or 30 days
after publication of this notice in the
Federal Register, whichever is later.
The matching program will continue for
18 months from the effective date and
may be extended for an additional 12
months thereafter, if certain conditions
are met.
U.S. Office of Personnel Management.
Katherine Archuleta,
Director.
[FR Doc. 2015–14082 Filed 6–8–15; 8:45 am]
BILLING CODE 6325–38–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
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Federal Register / Vol. 80, No. 110 / Tuesday, June 9, 2015 / Notices
comments, it is best if the RRB and
OIRA receive them within 30 days of
the publication date.
Under section 2 of the Railroad
Retirement Act, an annuity is not
payable or is reduced for any month in
which the annuitant works for a railroad
or earns more than prescribed dollar
amounts from either non-railroad
employment or self-employment.
Certain types of work may indicate an
annuitant’s recovery from disability.
The provisions relating to the reduction
or non-payment of an annuity by reason
of work, and an annuitant’s recovery
from disability for work, are prescribed
in 20 CFR 220.17–220.20. The RRB
conducts continuing disability reviews
(CDR) to determine whether an
annuitant continues to meet the
disability requirements of the law.
Provisions relating to when and how
often the RRB conducts CDR’s are
prescribed in 20 CFR 220.186.
Form G–254, Continuing Disability
Report, is used by the RRB to develop
information for a CDR determination,
including a determination prompted by
a report of work, return to railroad
service, allegation of medical
improvement, or a routine disability
review call-up. Form G–254a,
Continuing Disability Update Report, is
used to help identify a disability
annuitant whose work activity and/or
recent medical history warrants
completion of Form G–254 for a more
extensive review. Completion is
required to retain a benefit. One
response is requested of each
respondent to Forms G–254 and
G–254a.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (80 FR 13921 on March
17, 2015) required by 44 U.S.C.
3506(c)(2). That request elicited no
comments.
Information Collection Request (ICR)
Title: Continuing Disability Report.
OMB Control Number: 3220–0187.
Forms submitted: G–254 and G–254a.
Type of request: Revision of a
currently approved collection.
Affected public: Individuals or
Households.
Abstract: Under the Railroad
Retirement Act, a disability annuity can
be reduced or not paid, depending on
the amount of earnings and type of work
performed. The collection obtains
information about a disabled annuitant’s
employment and earnings.
Changes proposed: The RRB proposes
the following changes to Form G–254:
• Revise current Item 12a to include
the spouse as a source of employment.
• Revise current Items 15k, 17a, and
17b to show the impact the disability
has had on their business and decision
making abilities.
• Renumber current Item 31 to Item
31a and create New Items 31b and c to
identify the annuitant who requires an
assistive device and to identify the
assistive device, such as a cane, oxygen,
etc.
• Other minor editorial changes.
The RRB also proposes the following
change to Form G–254A:
• Add a request for the social security
number of the applicant who is not the
employee to resolve any ambiguous
issues.
The burden estimate for the ICR is as
follows:
Annual
responses
Form No.
Time
(minutes)
Burden
(hours)
G–254 ..........................................................................................................................................
G–254a ........................................................................................................................................
1,500
1,500
5–35
5
623
125
Total ......................................................................................................................................
3,000
........................
748
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. 2015–14096 Filed 6–8–15; 8:45 am]
BILLING CODE 7905–01–P
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RAILROAD RETIREMENT BOARD
Proposed Collection; Comment
Request
Summary: In accordance with the
requirement of section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995
which provides opportunity for public
comment on new or revised data
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Jkt 235001
collections, the Railroad Retirement
Board (RRB) will publish periodic
summaries of proposed data collections.
Comments are invited on: (a) Whether
the proposed information collection is
necessary for the proper performance of
the functions of the agency, including
whether the information has practical
utility; (b) the accuracy of the RRB’s
estimate of the burden of the collection
of the information; (c) ways to enhance
the quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden related to
the collection of information on
respondents, including the use of
automated collection techniques or
other forms of information technology.
Title and purpose of information
collection: Employee’s Certification;
OMB 3220–0140 Section 2 of the
Railroad Retirement Act (RRA),
provides for the payment of an annuity
to the spouse or divorced spouse of a
retired railroad employee. For the
spouse or divorced spouse to qualify for
an annuity, the RRB must determine if
any of the employee’s current marriage
to the applicant is valid.
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The requirements for obtaining
documentary evidence to determine
valid marital relationships are
prescribed in 20 CFR 219.30 through
219.35. Section 2(e) of the RRA requires
that an employee must relinquish all
rights to any railroad employer service
before a spouse annuity can be paid.
The RRB uses Form G–346,
Employee’s Certification, to obtain the
information needed to determine
whether the employee’s current
marriage is valid. Form G–346 is
completed by the retired employee who
is the husband or wife of the applicant
for a spouse annuity. Completion is
required to obtain a benefit. One
response is requested of each
respondent. The RRB proposes no
changes to Form G–346.
Form G–346sum, Employee
Certification Summary, which mirrors
the information collected on Form G–
346, is used when an employee, after
being interviewed by an RRB field office
staff member ‘‘signs’’ the form using an
alternative signature method known as
‘‘attestation.’’ Attestation refers to the
action taken by the RRB field office
employee to confirm and annotate the
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]]>Agencies
[Federal Register Volume 80, Number 110 (Tuesday, June 9, 2015)]
[Notices]
[Pages 32636-32637]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-14096]
=======================================================================
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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
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
[[Page 32637]]
comments, it is best if the RRB and OIRA receive them within 30 days of
the publication date.
Under section 2 of the Railroad Retirement Act, an annuity is not
payable or is reduced for any month in which the annuitant works for a
railroad or earns more than prescribed dollar amounts from either non-
railroad employment or self-employment. Certain types of work may
indicate an annuitant's recovery from disability. The provisions
relating to the reduction or non-payment of an annuity by reason of
work, and an annuitant's recovery from disability for work, are
prescribed in 20 CFR 220.17-220.20. The RRB conducts continuing
disability reviews (CDR) to determine whether an annuitant continues to
meet the disability requirements of the law. Provisions relating to
when and how often the RRB conducts CDR's are prescribed in 20 CFR
220.186.
Form G-254, Continuing Disability Report, is used by the RRB to
develop information for a CDR determination, including a determination
prompted by a report of work, return to railroad service, allegation of
medical improvement, or a routine disability review call-up. Form G-
254a, Continuing Disability Update Report, is used to help identify a
disability annuitant whose work activity and/or recent medical history
warrants completion of Form G-254 for a more extensive review.
Completion is required to retain a benefit. One response is requested
of each respondent to Forms G-254 and G-254a.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (80 FR 13921 on March 17, 2015) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Continuing Disability Report.
OMB Control Number: 3220-0187.
Forms submitted: G-254 and G-254a.
Type of request: Revision of a currently approved collection.
Affected public: Individuals or Households.
Abstract: Under the Railroad Retirement Act, a disability annuity
can be reduced or not paid, depending on the amount of earnings and
type of work performed. The collection obtains information about a
disabled annuitant's employment and earnings.
Changes proposed: The RRB proposes the following changes to Form G-
254:
Revise current Item 12a to include the spouse as a source
of employment.
Revise current Items 15k, 17a, and 17b to show the impact
the disability has had on their business and decision making abilities.
Renumber current Item 31 to Item 31a and create New Items
31b and c to identify the annuitant who requires an assistive device
and to identify the assistive device, such as a cane, oxygen, etc.
Other minor editorial changes.
The RRB also proposes the following change to Form G-254A:
Add a request for the social security number of the
applicant who is not the employee to resolve any ambiguous issues.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
G-254........................................................... 1,500 5-35 623
G-254a.......................................................... 1,500 5 125
-----------------------------------------------
Total....................................................... 3,000 .............. 748
----------------------------------------------------------------------------------------------------------------
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. 2015-14096 Filed 6-8-15; 8:45 am]
BILLING CODE 7905-01-P
