Agency Forms Submitted for OMB Review, Request for Comments, 67015-67016 [2016-23526]

Download as PDF Federal Register / Vol. 81, No. 189 / Thursday, September 29, 2016 / Notices www.prc.gov, Docket Nos. MC2016–203, CP2016–292. POSTAL SERVICE Product Change—Priority Mail Negotiated Service Agreement AGENCY: ACTION: Stanley F. Mires, Attorney, Federal Compliance. Postal ServiceTM. [FR Doc. 2016–23511 Filed 9–28–16; 8:45 am] BILLING CODE 7710–12–P 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: POSTAL SERVICE Product Change—Priority Mail Express and Priority Mail Negotiated Service Agreement 2016. Elizabeth A. Reed, 202–268–3179. The United States Postal Service® hereby gives notice that, pursuant to 39 U.S.C. 3642 and 3632(b)(3), on September 23, 2016, it filed with the Postal Regulatory Commission a Request of the United States Postal Service to Add Priority Mail Contract 241 to Competitive Product List. Documents are available at www.prc.gov, Docket Nos. MC2016–202, CP2016–291. SUPPLEMENTARY INFORMATION: The Postal Service gives notice of filing a request with the Postal Regulatory Commission to add a domestic shipping services contract to the list of Negotiated Service Agreements in the Mail Classification Schedule’s Competitive Products List. DATES: Effective date: September 29, 2016. FOR FURTHER INFORMATION CONTACT: POSTAL SERVICE Elizabeth A. Reed, 202–268–3179. The United States Postal Service® hereby gives notice that, pursuant to 39 U.S.C. 3642 and 3632(b)(3), on September 23, 2016, it filed with the Postal Regulatory Commission a Request of the United States Postal Service to Add Priority Mail Express & Priority Mail Contract 35 to Competitive Product List. Documents are available at www.prc.gov, Docket Nos. MC2016–205, CP2016–294. Product Change—Priority Mail Negotiated Service Agreement Stanley F. Mires, Attorney, Federal Compliance. Stanley F. Mires, Attorney, Federal Compliance. [FR Doc. 2016–23512 Filed 9–28–16; 8:45 am] BILLING CODE 7710–12–P SUPPLEMENTARY INFORMATION: [FR Doc. 2016–23509 Filed 9–28–16; 8:45 am] AGENCY: ACTION: Postal ServiceTM. BILLING CODE 7710–12–P 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: September 29, 2016. FOR FURTHER INFORMATION CONTACT: Elizabeth A. Reed, 202–268–3179. The United States Postal Service® hereby gives notice that, pursuant to 39 U.S.C. 3642 and 3632(b)(3), on September 23, 2016, it filed with the Postal Regulatory Commission a Request of the United States Postal Service to Add Priority Mail Contract 242 to Competitive Product List. Documents are available at mstockstill on DSK3G9T082PROD with NOTICES SUPPLEMENTARY INFORMATION: VerDate Sep<11>2014 18:51 Sep 28, 2016 Jkt 238001 Stanley F. Mires, Attorney, Federal Compliance. [FR Doc. 2016–23510 Filed 9–28–16; 8:45 am] BILLING CODE 7710–12–P RAILROAD RETIREMENT BOARD SUMMARY: FOR FURTHER INFORMATION CONTACT: 3642 and 3632(b)(3), on September 23, 2016, it filed with the Postal Regulatory Commission a Request of the United States Postal Service to Add Priority Mail Contract 243 to Competitive Product List. Documents are available at www.prc.gov, Docket Nos. MC2016–204, CP2016–293. AGENCY: ACTION: Effective date: September 29, Postal ServiceTM. Notice. 67015 POSTAL SERVICE Product Change—Priority Mail Negotiated Service Agreement Postal ServiceTM. ACTION: Notice. AGENCY: The Postal Service gives notice of filing a request with the Postal Regulatory Commission to add a domestic shipping services contract to the list of Negotiated Service Agreements in the Mail Classification Schedule’s Competitive Products List. DATES: Effective date: September 29, 2016. 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. SUPPLEMENTARY INFORMATION: PO 00000 Frm 00097 Fmt 4703 Sfmt 4703 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. Title and purpose of information collection: Application for Employee Annuity Under the Railroad Retirement Act; OMB 3220–0002. Section 2a of the Railroad Retirement Act (RRA) provides for payments of age and service, disability, and supplemental annuities to qualified employees. An annuity cannot be paid until the employee stops working for a railroad employer. In addition, the age and service employee must relinquish any rights held to such jobs. A disabled employee does not need to relinquish employee rights until attaining Full Retirement Age, or if earlier, when their spouse is awarded a spouse annuity. Benefits become payable after the employee meets certain other E:\FR\FM\29SEN1.SGM 29SEN1 67016 Federal Register / Vol. 81, No. 189 / Thursday, September 29, 2016 / Notices requirements, which depend on the type of annuity payable. The requirements for obtaining the annuities are prescribed in 20 CFR 216 and 220. To collect the information needed to help determine an applicant’s entitlement to, and the amount of, an employee retirement annuity the RRB uses Forms AA–1, Application for Employee Annuity; AA–1d, Application for Determination of Employee Disability; G–204, Verification of Workers Compensation/Public Disability Benefit Information, and electronic Forms AA–1cert, Application Summary and Certification, and AA– 1sum, Application Summary. The AA–1 application process obtains information from an applicant about their marital history, work history, military service, benefits from other governmental agencies, railroad pensions and Medicare entitlement for either an age and service or disability annuity. An RRB representative interviews the applicant either at a field office, an itinerant point, or by telephone. During the interview, the RRB representative enters the information obtained into an on-line information system. Upon completion of the interview, the on-line information system generates Form AA–1cert, Application Summary and Certification, or Form AA–1sum, Application Summary, a summary of the information that was provided for the applicant to review and approve. Form AA–1cert documents approval using the traditional pen and ink ‘‘wet’’ signature, and Form AA–1sum documents approval using the alternative signature method called Attestation. When the RRB representative is unable to contact the applicant in person or by telephone, for example, the applicant lives in another country, a manual version of Form AA–1 is used. Form AA–1d, Application for Determination of Employee’s Disability, is completed by an employee who is filing for a disability annuity under the RRA, or a disability freeze under the Social Security Act for early Medicare based on a disability. Form G–204, Verification of Worker’s Compensation/ Public Disability Benefit Information, is used to obtain and verify information concerning a worker’s compensation or a public disability benefit that is or will be paid by a public agency to a disabled railroad employee. One response is requested of each respondent. Completion of the forms is required to obtain/retain a benefit. Previous Requests for Comments: The RRB has already published the initial 60-day notice (81 FR 47183 on July 20, 2016) required by 44 U.S.C. 3506(c)(2). That request elicited no comments. Title: Application for Employee Annuity Under the Railroad Retirement Act. OMB Control Number: 3220–0002. Form(s) submitted: AA–1, AA–1cert, AA–1d, AA–1sum and G–204. Type of request: Revision of a currently approved collection. Affected public: Individuals or Households. Abstract: The Railroad Retirement Act provides for payment of age, disability and supplemental annuities to qualified employees. The application and related forms obtain information about the applicant’s family work history, military service, disability benefits from other government agencies and public or private pensions. The information is used to determine entitlement to and the amount of the annuity applied for. Changes proposed: The RRB proposes the following changes to Forms AA–1 and AA–1d: • Deletion of Item 35a-d from Form AA–1, regarding the relinquishment of seniority rights; • the relocation of current Items 52– 53 from Form AA–1d to proposed Items 48a-b on Form AA–1, regarding whether an applicant had filed or expected to file a lawsuit or claim against a person or company for a personal injury that resulted in the payment of sickness benefits by the RRB, as the potential for uncollected sickness benefits can apply to both a disability applicant as well as an applicant qualified for an age and service annuity. • Comparable revisions to electronic equivalent forms (AA–1cert and AA– 1sum) are also being proposed. No other changes are proposed. The burden estimate for the ICR is as follows: Annual responses Form No. Time (minutes) Burden (hours) 100 4,620 8,000 2,600 5 20 62 30 29 60 85 15 103 2,310 3,867 2,600 7 5 Total ...................................................................................................................................... mstockstill on DSK3G9T082PROD with NOTICES AA–1 (without assistance) ........................................................................................................... AA–1cert (with assistance) .......................................................................................................... AA–1sum (with assistance) ......................................................................................................... AA–1d (with assistance) .............................................................................................................. AA–1d (without assistance) ......................................................................................................... G–204 .......................................................................................................................................... 15,345 ........................ 8,892 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, 60611–1275 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. SECURITIES AND EXCHANGE COMMISSION Charles Mierzwa, Associate Chief Information Officer for Policy and Compliance. [Release No. 34–78919; File No. SR–MIAX– 2016–32] [FR Doc. 2016–23526 Filed 9–28–16; 8:45 am] BILLING CODE 7905–01–P Self-Regulatory Organizations; Miami International Securities Exchange LLC; Notice of Filing and Immediate Effectiveness of Proposed Rule Change To Amend Its Fee Schedule To Modify the Exchange’s Connectivity Fees September 23, 2016. Pursuant to the provisions of Section 19(b)(1) of the Securities Exchange Act VerDate Sep<11>2014 18:51 Sep 28, 2016 Jkt 238001 PO 00000 Frm 00098 Fmt 4703 Sfmt 4703 E:\FR\FM\29SEN1.SGM 29SEN1

Agencies

[Federal Register Volume 81, Number 189 (Thursday, September 29, 2016)]
[Notices]
[Pages 67015-67016]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-23526]


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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 comments, it is best if the RRB and OIRA receive 
them within 30 days of the publication date.
    Title and purpose of information collection: Application for 
Employee Annuity Under the Railroad Retirement Act; OMB 3220-0002.
    Section 2a of the Railroad Retirement Act (RRA) provides for 
payments of age and service, disability, and supplemental annuities to 
qualified employees. An annuity cannot be paid until the employee stops 
working for a railroad employer. In addition, the age and service 
employee must relinquish any rights held to such jobs. A disabled 
employee does not need to relinquish employee rights until attaining 
Full Retirement Age, or if earlier, when their spouse is awarded a 
spouse annuity. Benefits become payable after the employee meets 
certain other

[[Page 67016]]

requirements, which depend on the type of annuity payable. The 
requirements for obtaining the annuities are prescribed in 20 CFR 216 
and 220.
    To collect the information needed to help determine an applicant's 
entitlement to, and the amount of, an employee retirement annuity the 
RRB uses Forms AA-1, Application for Employee Annuity; AA-1d, 
Application for Determination of Employee Disability; G-204, 
Verification of Workers Compensation/Public Disability Benefit 
Information, and electronic Forms AA-1cert, Application Summary and 
Certification, and AA-1sum, Application Summary.
    The AA-1 application process obtains information from an applicant 
about their marital history, work history, military service, benefits 
from other governmental agencies, railroad pensions and Medicare 
entitlement for either an age and service or disability annuity. An RRB 
representative interviews the applicant either at a field office, an 
itinerant point, or by telephone. During the interview, the RRB 
representative enters the information obtained into an on-line 
information system. Upon completion of the interview, the on-line 
information system generates Form AA-1cert, Application Summary and 
Certification, or Form AA-1sum, Application Summary, a summary of the 
information that was provided for the applicant to review and approve. 
Form AA-1cert documents approval using the traditional pen and ink 
``wet'' signature, and Form AA-1sum documents approval using the 
alternative signature method called Attestation. When the RRB 
representative is unable to contact the applicant in person or by 
telephone, for example, the applicant lives in another country, a 
manual version of Form AA-1 is used.
    Form AA-1d, Application for Determination of Employee's Disability, 
is completed by an employee who is filing for a disability annuity 
under the RRA, or a disability freeze under the Social Security Act for 
early Medicare based on a disability. Form G-204, Verification of 
Worker's Compensation/Public Disability Benefit Information, is used to 
obtain and verify information concerning a worker's compensation or a 
public disability benefit that is or will be paid by a public agency to 
a disabled railroad employee.
    One response is requested of each respondent. Completion of the 
forms is required to obtain/retain a benefit.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (81 FR 47183 on July 20, 2016) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.
    Title: Application for Employee Annuity Under the Railroad 
Retirement Act.
    OMB Control Number: 3220-0002.
    Form(s) submitted: AA-1, AA-1cert, AA-1d, AA-1sum and G-204.
    Type of request: Revision of a currently approved collection.
    Affected public: Individuals or Households.
    Abstract: The Railroad Retirement Act provides for payment of age, 
disability and supplemental annuities to qualified employees. The 
application and related forms obtain information about the applicant's 
family work history, military service, disability benefits from other 
government agencies and public or private pensions. The information is 
used to determine entitlement to and the amount of the annuity applied 
for.
    Changes proposed: The RRB proposes the following changes to Forms 
AA-1 and AA-1d:
     Deletion of Item 35a-d from Form AA-1, regarding the 
relinquishment of seniority rights;
     the relocation of current Items 52-53 from Form AA-1d to 
proposed Items 48a-b on Form AA-1, regarding whether an applicant had 
filed or expected to file a lawsuit or claim against a person or 
company for a personal injury that resulted in the payment of sickness 
benefits by the RRB, as the potential for uncollected sickness benefits 
can apply to both a disability applicant as well as an applicant 
qualified for an age and service annuity.
     Comparable revisions to electronic equivalent forms (AA-
1cert and AA-1sum) are also being proposed.
    No other changes are proposed.
    The burden estimate for the ICR is as follows:

----------------------------------------------------------------------------------------------------------------
                                                                      Annual
                            Form No.                                 responses    Time (minutes)  Burden (hours)
----------------------------------------------------------------------------------------------------------------
AA-1 (without assistance).......................................             100              62             103
AA-1cert (with assistance)......................................           4,620              30           2,310
AA-1sum (with assistance).......................................           8,000              29           3,867
AA-1d (with assistance).........................................           2,600              60           2,600
AA-1d (without assistance)......................................               5              85               7
G-204...........................................................              20              15               5
                                                                 -----------------------------------------------
    Total.......................................................          15,345  ..............           8,892
----------------------------------------------------------------------------------------------------------------

    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, 60611-1275 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,
Associate Chief Information Officer for Policy and Compliance.
[FR Doc. 2016-23526 Filed 9-28-16; 8:45 am]
 BILLING CODE 7905-01-P