Agency Forms Submitted for OMB Review, Request for Comments, 11663-11666 [2017-03578]

Download as PDF 11663 Federal Register / Vol. 82, No. 36 / Friday, February 24, 2017 / Notices services for invitees for the purposes of supporting the volunteer during service. Request for Comment: Peace Corps invites comments on whether the proposed collections of information are necessary for proper performance of the functions of the Peace Corps, including whether the information will have practical use; the accuracy of the agency’s estimate of the burden of the proposed collection of information, including the validity of the information to be collected; and, ways to minimize the burden of the collection of information on those who are to respond, including through the use of automated collection techniques, when appropriate, and other forms of information technology. This notice is issued in Washington, DC on February 21, 2017. Denora Miller, FOIA/Privacy Act Officer, Management. [FR Doc. 2017–03640 Filed 2–23–17; 8:45 am] BILLING CODE 6051–01–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 forwarding 4 Information Collection Requests (ICR) to the Office of Information and Regulatory Affairs (OIRA), Office of Management and Budget (OMB). Our ICR describes the information we seek to collect from the public. Review and approval by OIRA ensures that we impose appropriate paperwork burdens. The RRB invites comments on the proposed collections of information to determine (1) the practical utility of the collections; (2) the accuracy of the estimated burden of the collections; (3) ways to enhance the quality, utility, and clarity of the information that is the SUMMARY: 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: Placement Service; OMB 3220–0057. Section 12(i) of the Railroad Unemployment Insurance Act (RUIA), authorizes the RRB to establish, maintain, and operate free employment offices to provide claimants for unemployment benefits with job placement opportunities. Section 704(d) of the Regional Railroad Reorganization Act of 1973, as amended, and as extended by the Consolidated Omnibus Budget Reconciliation Act of 1985, required the RRB to maintain and distribute a list of railroad job vacancies, by class and craft, based on information furnished by rail carriers to the RRB. Although the requirement under the law expired effective August 13, 1987, the RRB has continued to obtain this information in keeping with its employment service responsibilities under Section 12(k) of the RUIA. Application procedures for the job placement program are prescribed in 20 CFR 325. The procedures pertaining to the RRB’s obtaining and distributing job vacancy reports furnished by rail carriers are described in 20 CFR 346.1. The RRB currently utilizes four forms to obtain information needed to carry out its job placement responsibilities. Form ES–2, Central Register Notification, is used by the RRB to obtain information needed to update a computerized central register of separated and furloughed railroad employees available for employment in the railroad industry. Forms ES–21, Referral to State Employment Service, Information Collection Request (ICR) Title: Placement Service. OMB Control Number: 3220–0057. Form(s) submitted: ES–2, ES–21, ES– 21c, UI–35 and Job Vacancies Report. Type of request: Extension without change of a currently approved collection. Affected public: Private Sector, Businesses or other for-profits; Individuals or Households; State, Local, and Tribal Governments. Abstract: Under the RUIA, the Railroad Retirement Board provides job placement assistance for unemployed railroad workers. The collection obtains information from job applicants, railroad employers, and State Employment Service offices for use in placement, for providing referrals for job openings, reports of referral results and for verifying and monitoring claimant eligibility. Changes proposed: The RRB proposes no revisions to the forms in the collection. The burden estimate for the ICR is as follows: Annual responses Form No. asabaliauskas on DSK3SPTVN1PROD with NOTICES and ES–21c, Report of State Employment Service Office, are used by the RRB to provide placement assistance for unemployed railroad employees through arrangements with State Employment Service offices. Form UI– 35, Field Office Record of Claimant Interview, is used primarily by the RRB to conduct in-person interviews of claimants for unemployment benefits. Completion of these forms is required to obtain or maintain a benefit. In addition, the RRB also collects Railroad Job Vacancies information received voluntarily from railroad employers. Previous Requests for Comments: The RRB has already published the initial 60-day notice (81 FR 89521 on December 12, 2016) required by 44 U.S.C. 3506(c)(2). That request elicited no comments. Time (minutes) Burden (hours) ES–2 ............................................................................................................................................ ES–21 .......................................................................................................................................... ES–21c ........................................................................................................................................ UI–35 in person ........................................................................................................................... UI–35 by mail ............................................................................................................................... Job Vacancies ............................................................................................................................. 3,750 80 25 6,300 700 470 .25 .68 1.50 7.00 10.50 10.00 16 0.9 0.6 735 123 78 Total ...................................................................................................................................... 11,325 ........................ 953 2. Title and Purpose of information collection: Certification Regarding Rights to Unemployment Benefits; OMB 3220–0079 VerDate Sep<11>2014 17:20 Feb 23, 2017 Jkt 241001 Under Section 4 of the Railroad Unemployment Insurance Act (RUIA), an employee who leaves work voluntarily is disqualified for PO 00000 Frm 00141 Fmt 4703 Sfmt 4703 unemployment benefits unless the employee left work for good cause and is not qualified for unemployment benefits under any other law. RRB Form E:\FR\FM\24FEN1.SGM 24FEN1 11664 Federal Register / Vol. 82, No. 36 / Friday, February 24, 2017 / Notices UI–45, Claimant’s Statement— Voluntary Leaving of Work, is used by the RRB to obtain the claimant’s statement when the claimant, the claimant’s employer, or another source indicates that the claimant has voluntarily left work. Completion of Form UI–45 is required to obtain or retain benefits. One response is received from each respondent. Previous Requests for Comments: The RRB has already published the initial 60-day notice (81 FR 89522 on December 12, 2016) required by 44 U.S.C. 3506(c)(2). That request elicited no comments. Information Collection Request (ICR) Title: Certification Regarding Rights to Unemployment Benefits. OMB Control Number: 3220–0079. Form(s) submitted: UI–45. Type of request: Extension without change of a currently approved collection. Affected public: Individuals or Households. Abstract: In administering the disqualification for the voluntary leaving of work provision of Section 4 of the Railroad Unemployment Insurance Act, the Railroad Retirement Board investigates an unemployment claim that indicates the claimant left voluntarily. The certification obtains information needed to determine if the leaving was for good cause. Changes proposed: The RRB proposes no changes to Form UI–45. The burden estimate for the ICR is as follows: Annual responses Form No. UI–45 ........................................................................................................................................... 3. Title and Purpose of information collection: Self-Employment and Substantial Service Questionnaire; OMB 3220–0138. Section 2 of the Railroad Retirement Act (RRA) provides for payment of annuities to qualified employees and their spouses. In order to receive an age and service annuity, Section 2(e)(3) states that an applicant must stop all railroad work and give up any rights to return to such work. However, applicants are not required to stop nonrailroad work or self-employment. The RRB considers some work claimed as ‘‘self-employment’’ to actually be employment for an employer. Whether the RRB classifies a particular activity as self-employment or as work for an employer depends upon the circumstances of each case. These circumstances are prescribed in 20 CFR 216. Under the 1988 amendments to the RRA, an applicant is no longer required to stop work for a ‘‘Last Pre-Retirement Nonrailroad Employer’’ (LPE). However, Section 2(f)(6) of the RRA requires that a portion of the employee’s Tier II benefit and supplemental annuity be deducted for earnings from the ‘‘LPE.’’ The ‘‘LPE’’ is defined as the last person, company, or institution with whom the employee or spouse applicant was employed concurrently with, or after, the applicant’s last railroad employment and before their annuity beginning date. If a spouse never worked for a railroad, the LPE is the last person for whom he or she worked. The RRB utilizes Form AA–4, SelfEmployment and Substantial Service Questionnaire, to obtain information needed to determine if the work the applicant claims is self-employment is really self-employment or work for an LPE or railroad service. If the work is self-employment, the questionnaire identifies any month in which the applicant did not perform substantial service. Completion is voluntary. However, failure to complete the form 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 (81 FR 89522 on December 12, 2016) required by 44 200 Burden (hours) 15 50 U.S.C. 3506(c)(2). That request elicited no comments. Information Collection Request (ICR) Title: Self-Employment and Substantial Service Questionnaire. OMB Control Number: 3220–0138. Form(s) submitted: AA–4. Type of request: Extension without change of a currently approved collection. Affected public: Individuals or Households. Abstract: Section 2 of the Railroad Retirement Act (RRA) provides for payment of annuities to qualified employees and their spouses. Work for a Last Pre-Retirement Nonrailroad Employer (LPE), and work in selfemployment affect payment in different ways. This collection obtains information to determine whether claimed self-employment is really selfemployment, and not work for a railroad or LPE. Changes proposed: The RRB proposes no changes to Form AA–4. The burden estimate for the ICR is as follows: Annual responses Form No. Time (minutes) Time (minutes) Burden (hours) 570 30 40 70 380 35 Total ...................................................................................................................................... asabaliauskas on DSK3SPTVN1PROD with NOTICES AA–4 (With assistance) ............................................................................................................... AA–4 (Without assistance) .......................................................................................................... 600 ........................ 415 4. Title and purpose of information collection: Withholding Certificate for Railroad Retirement Monthly Annuity Payments; OMB 3220–0149. The Internal Revenue Code requires that all payers of tax liable private pensions to U.S. citizens or residents: (1) Notify each recipient at least VerDate Sep<11>2014 17:20 Feb 23, 2017 Jkt 241001 concurrent with initial withholding that the payer is, in fact, withholding benefits for tax liability and that the recipient has the option of electing not to have the payer withhold, or to withhold at a specific rate; (2) withhold benefits for tax purposes (in the absence of the recipient’s election not to PO 00000 Frm 00142 Fmt 4703 Sfmt 4703 withhold benefits); and (3) notify all beneficiaries, at least annually, that they have the option to change their withholding status or elect not to have benefits withheld. The RRB provides Form RRB–W4P, Withholding Certificate for Railroad E:\FR\FM\24FEN1.SGM 24FEN1 11665 Federal Register / Vol. 82, No. 36 / Friday, February 24, 2017 / Notices Retirement Payments, to its annuitants to exercise their withholding options. Completion of the form is required to obtain or retain a benefit. One response is requested of each respondent. Previous Requests for Comments: The RRB has already published the initial 60-day notice (81 FR 89998 on December 13, 2016) required by 44 U.S.C. 3506(c)(2). That request elicited no comments. Information Collection Request (ICR) Title: Withholding Certificate for Railroad Retirement Monthly Annuity Payments. OMB Control Number: 3220–0149. Form(s) submitted: RRB W–4P. Type of request: Extension without change of a currently approved collection. Affected public: Individuals or Households. Abstract: Under Public Law 98–76, railroad retirement beneficiaries’ Tier II, dual vested and supplemental benefits are subject to income tax under private pension rules. Under Public Law 99– 514, the non-social security equivalent benefit portion of Tier I is also taxable under private pension rules. The collection obtains the information needed by the Railroad Retirement Board to implement the income tax withholding provisions. Changes proposed: The RRB proposes no changes to Form RRB W–4P. The burden estimate for the ICR is as follows: Estimated annual number of respondents: 25,000. Total annual responses: 25,000. Total annual reporting hours: 1. 5. Title and Purpose of information collection: Earnings Information Request; OMB 3220–0184 Under Section 2 of the Railroad Retirement Act, an annuity is not payable, or is reduced for any month(s) in which the beneficiary works for a railroad or earns more than prescribed amounts. The provisions relating to the reduction or non-payment of annuities by reason of work are prescribed in 20 CFR 230. The RRB utilizes Form G–19–F, Earnings Information Request, to obtain earnings information that either had not been previously reported or erroneously reported by a beneficiary. Currently the claimant is asked to enter the date they stopped working, if applicable. If a respondent fails to complete the form, the RRB may be unable to pay them benefits. One response is requested of each respondent. Previous Requests for Comments: The RRB has already published the initial 60-day notice (81 FR 89998 on December 13, 2016) required by 44 U.S.C. 3506(c)(2). That request elicited no comments. Information Collection Request (ICR) Title: Earnings Information Request. OMB Control Number: 3220–0184. Form(s) submitted: G–19–F. Type of request: Revision of a currently approved collection. Affected public: Individuals or Households. Abstract: Under Section 2 of the Railroad Retirement Act, an annuity is not payable, or is reduced for any month(s) in which the beneficiary works for a railroad or earns more than prescribed amounts. The collection obtains earnings information not previously or erroneously reported by a beneficiary. Changes proposed: The RRB proposes the implementation of an Internet-based equivalent Form G–19F. It will be available for downloading from the RRB’s Web site at www.rrb.gov. It will collect the same information as the approved version but will be fillable and printable online. No other changes are proposed. The burden estimate for the ICR is as follows: Annual responses Form No. G–19–F ........................................................................................................................................ 6. Title and Purpose of information collection: Designation of Contact Officials; 3220–0200. Coordination between railroad employers and the RRB is essential to properly administer the payment of benefits under the Railroad Retirement Act (RRA) and the Railroad Unemployment Insurance Act (RUIA). In order to enhance timely coordination activity, the RRB utilizes Form G–117A, Designation of Contact Officials. Form G–117A is used by railroad employers to designate employees who are to act as point of contact with the RRB on a variety of RRA and RUIA-related matters. Completion is voluntary. One response is requested from each respondent. Previous Requests for Comments: The RRB has already published the initial 60-day notice (81 FR 89522 on December 12, 2016) required by 44 U.S.C. 3506(c)(2). That request elicited no comments. Information Collection Request (ICR) Title: Designation of Contact Officials. OMB Control Number: 3220–0200. Form(s) submitted: G–117A. asabaliauskas on DSK3SPTVN1PROD with NOTICES 900 G–117A ........................................................................................................................................ 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. VerDate Sep<11>2014 17:20 Feb 23, 2017 Jkt 241001 Comments regarding the information collection should be addressed to Brian Foster, Railroad Retirement Board, 844 North Rush Street, Chicago, Illinois 60611–1275 or emailed to Brian.Foster@ PO 00000 Frm 00143 Fmt 4703 Sfmt 4703 Burden (hours) 8 120 Type of request: Extension without change of a currently approved collection. Affected public: Private Sector; Businesses or other for profits. Abstract: The Railroad Retirement Board (RRB) requests that railroad employers designate employees to act as liaison with the RRB on a variety of Railroad Retirement Act and Railroad Unemployment Insurance Act matters. Changes proposed: The RRB proposes no revisions to Form G–117A. The burden estimate for the ICR is as follows: Annual responses Form No. Time (minutes) 100 Time (minutes) Burden (hours) 15 25 rrb.gov. and to the OMB Desk Officer for the RRB, Fax: 202–395–6974, Email E:\FR\FM\24FEN1.SGM 24FEN1 11666 Federal Register / Vol. 82, No. 36 / Friday, February 24, 2017 / Notices II. Self-Regulatory Organization’s Statement of the Purpose of, and Statutory Basis for, the Proposed Rule Change address: OIRA_Submission@ omb.eop.gov. Brian D. Foster, Clearance Officer. [FR Doc. 2017–03578 Filed 2–23–17; 8:45 am] BILLING CODE 7905–01–P SECURITIES AND EXCHANGE COMMISSION [Release No. 34–80064; File No. SR–Phlx– 2017–15] Self-Regulatory Organizations; NASDAQ PHLX LLC; Notice of Filing and Immediate Effectiveness of Proposed Rule Change To Amend PIXL pricing In its filing with the Commission, the Exchange included statements concerning the purpose of and basis for the proposed rule change and discussed any comments it received on the proposed rule change. The text of these statements may be examined at the places specified in Item IV below. The Exchange has prepared summaries, set forth in sections A, B, and C below, of the most significant aspects of such statements. A. Self-Regulatory Organization’s Statement of the Purpose of, and Statutory Basis for, the Proposed Rule Change February 17, 2017. 1. Purpose Pursuant to Section 19(b)(1) of the Securities Exchange Act of 1934 (‘‘Act’’),1 and Rule 19b–4 thereunder,2 notice is hereby given that on February 8, 2017, NASDAQ PHLX LLC (‘‘Phlx’’ or ‘‘Exchange’’) filed with the Securities and Exchange Commission (‘‘SEC’’ or ‘‘Commission’’) the proposed rule change as described in Items I, II, and III, below, which Items have been prepared by the Exchange. The Commission is publishing this notice to solicit comments on the proposed rule change from interested persons. The purpose of the proposed rule change is to amend the Exchange’s Pricing Schedule at Section I, entitled ‘‘Rebates and Fees for Adding and Removing Liquidity in SPY,’’ to amend PIXL Executions in Standard and Poor’s Depositary Receipts/SPDRs (‘‘SPY’’).4 The Exchange also proposes to amend PIXL Pricing in Section IV, Part A, entitled ‘‘PIXL Pricing’’ for all other Multiply-Listed options symbols.5 I. Self-Regulatory Organization’s Statement of the Terms of Substance of the Proposed Rule Change The Exchange proposes to amend the Exchange’s Pricing Schedule at Section I, entitled ‘‘Rebates and Fees for Adding and Removing Liquidity in SPY,’’ and Section IV, Part A entitled ‘‘PIXL Pricing’’ to amend pricing related to PIXL 3 executions. The text of the proposed rule change is available on the Exchange’s Web site at https://nasdaqphlx.cchwallstreet.com/ , at the principal office of the Exchange, and at the Commission’s Public Reference Room. 1 15 U.S.C. 78s(b)(1). CFR 240.19b–4. 3 PIXLSM is the Exchange’s price improvement mechanism known as Price Improvement XL or PIXL. A member or member organization may electronically submit for execution an order it represents as agent on behalf of a public customer, broker-dealer, or any other entity (‘‘PIXL Order’’) against principal interest or against any other order (except as provided in Rule 1080(n)(i)(E)) it represents as agent (‘‘Initiating Order’’), provided it submits the PIXL order for electronic execution into the PIXL Auction pursuant to Rule 1080. See Exchange Rule 1080(n). asabaliauskas on DSK3SPTVN1PROD with NOTICES 2 17 VerDate Sep<11>2014 17:20 Feb 23, 2017 Jkt 241001 Proposed Amendments to Section I: Rebates and Fees for Adding and Removing Liquidity in SPY Section I of the Pricing Schedule contains pricing for PIXL Executions in SPY. Today, with respect to PIXL executions in SPY, the Exchange assesses an Initiating Order fee of $0.05 per contract. Today, the Initiating Order Fee for Professional,6 Firm,7 BrokerDealer,8 Specialist 9 and Market 4 Options overlying Standard and Poor’s Depositary Receipts/SPDRs (‘‘SPY’’) are based on the SPDR exchange-traded fund (‘‘ETF’’), which is designed to track the performance of the S&P 500 Index. 5 The Exchange initially filed the proposed pricing changes on February 2 [sic], 2017 (SR–Phlx– 2017–10). On February 8, 2017, the Exchange withdrew that filing and submitted this filing. The Commission notes that the Exchange filed SR– PHXL–2017–10 on February 1, 2017. 6 The term ‘‘Professional’’ applies to transactions for the accounts of Professionals, as defined in Exchange Rule 1000(b)(14). 7 The term ‘‘Firm’’ applies to any transaction that is identified by a member or member organization for clearing in the Firm range at The Options Clearing Corporation. 8 The term ‘‘Broker-Dealer’’ applies to any transaction which is not subject to any of the other transaction fees applicable within a particular category. 9 The term ‘‘Specialist’’ applies to transactions for the account of a Specialist (as defined in Exchange Rule 1020(a)). PO 00000 Frm 00144 Fmt 4703 Sfmt 4703 Maker 10 orders that are contra to a Customer 11 PIXL Order are reduced to $0.00 if the Customer PIXL Order is greater than 399 contracts. Further, when the PIXL Order is contra to the Initiating Order, a Customer PIXL Order is assessed $0.00 per contract and all other non-Customer market participants are assessed a $0.38 per contract fee when contra to an Initiating Order. When the PIXL Order is contra to other than the Initiating Order, the PIXL Order is assessed $0.00 per contract, unless the order is a Customer, in which case the Customer will receive a rebate of $0.38 per contract. All other NonCustomer contra parties to the PIXL Order, other than the Initiating Order, are assessed a Fee for Removing Liquidity of $0.42 per contract or will receive the Rebate for Adding Liquidity. The aforementioned applies to pricing in SPY. The Exchange proposes to continue to assess an Initiating Order fee of $0.05 per contract for SPY Orders within PIXL. The Exchange proposes to no longer offer the ability to not be assessed an Initiating Order Fee for Professional, Firm, Broker-Dealer, Specialist and Market Maker orders that are contra to a Customer PIXL Order, which are currently reduced to $0.00 if the Customer PIXL Order is greater than 399 contracts. The Exchange is replacing the incentive which reduces the Initiating Order Fee for Professional, Firm, Broker-Dealer, Specialist and Market Maker orders that are contra to a Customer PIXL Order, provided the 10 The term ‘‘Market Maker’’ includes Registered Options Traders (‘‘ROT’’). See Exchange Rule 1014(b)(i) and (ii). A ROT includes a Streaming Quote Trader or ‘‘SQT,’’ a Remote Streaming Quote Trader or ‘‘RSQT’’ and a Non-SQT, which by definition is neither a SQT nor a RSQT. A ROT is defined in Exchange Rule 1014(b) as a regular member of the Exchange located on the trading floor who has received permission from the Exchange to trade in options for his own account. An SQT is defined in Exchange Rule 1014(b)(ii)(A) as an ROT who has received permission from the Exchange to generate and submit option quotations electronically in options to which such SQT is assigned. An RSQT is defined in Exchange Rule in 1014(b)(ii)(B) as an ROT that is a member affiliated with an RSQTO with no physical trading floor presence who has received permission from the Exchange to generate and submit option quotations electronically in options to which such RSQT has been assigned. A Remote Streaming Quote Trader Organization or ‘‘RSQTO,’’ which may also be referred to as a Remote Market Making Organization (‘‘RMO’’), is a member organization in good standing that satisfies the RSQTO readiness requirements in Rule 507(a). RSQTs may also be referred to as Remote Market Markers (‘‘RMMs’’). 11 The term ‘‘Customer’’ applies to any transaction that is identified by a member or member organization for clearing in the Customer range at The Options Clearing Corporation which is not for the account of a broker or dealer or for the account of a ‘‘Professional’’ (as that term is defined in Rule 1000(b)(14)). E:\FR\FM\24FEN1.SGM 24FEN1

Agencies

Railroad Retirement Board

[Federal Register Volume 82, Number 36 (Friday, February 24, 2017)]
[Notices]
[Pages 11663-11666]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-03578]

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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 4
Information Collection Requests (ICR) to the Office of Information and
Regulatory Affairs (OIRA), Office of Management and Budget (OMB). Our
ICR describes the information we seek to collect from the public.
Review and approval by OIRA ensures that we impose appropriate
paperwork burdens.
The RRB invites comments on the proposed collections of information
to determine (1) the practical utility of the collections; (2) the
accuracy of the estimated burden of the collections; (3) ways to
enhance the quality, utility, and clarity of the information that is
the subject of collection; and (4) ways to minimize the burden of
collections on respondents, including the use of automated collection
techniques or other forms of information technology. Comments to the
RRB or OIRA must contain the OMB control number of the ICR. For proper
consideration of your comments, it is best if the RRB and OIRA receive
them within 30 days of the publication date.
1. Title and purpose of information collection: Placement Service;
OMB 3220-0057. Section 12(i) of the Railroad Unemployment Insurance Act
(RUIA), authorizes the RRB to establish, maintain, and operate free
employment offices to provide claimants for unemployment benefits with
job placement opportunities. Section 704(d) of the Regional Railroad
Reorganization Act of 1973, as amended, and as extended by the
Consolidated Omnibus Budget Reconciliation Act of 1985, required the
RRB to maintain and distribute a list of railroad job vacancies, by
class and craft, based on information furnished by rail carriers to the
RRB. Although the requirement under the law expired effective August
13, 1987, the RRB has continued to obtain this information in keeping
with its employment service responsibilities under Section 12(k) of the
RUIA. Application procedures for the job placement program are
prescribed in 20 CFR 325. The procedures pertaining to the RRB's
obtaining and distributing job vacancy reports furnished by rail
carriers are described in 20 CFR 346.1.
The RRB currently utilizes four forms to obtain information needed
to carry out its job placement responsibilities. Form ES-2, Central
Register Notification, is used by the RRB to obtain information needed
to update a computerized central register of separated and furloughed
railroad employees available for employment in the railroad industry.
Forms ES-21, Referral to State Employment Service, and ES-21c, Report
of State Employment Service Office, are used by the RRB to provide
placement assistance for unemployed railroad employees through
arrangements with State Employment Service offices. Form UI-35, Field
Office Record of Claimant Interview, is used primarily by the RRB to
conduct in-person interviews of claimants for unemployment benefits.
Completion of these forms is required to obtain or maintain a
benefit. In addition, the RRB also collects Railroad Job Vacancies
information received voluntarily from railroad employers.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (81 FR 89521 on December 12, 2016) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

Title: Placement Service.
OMB Control Number: 3220-0057.
Form(s) submitted: ES-2, ES-21, ES-21c, UI-35 and Job Vacancies
Report.
Type of request: Extension without change of a currently approved
collection.
Affected public: Private Sector, Businesses or other for-profits;
Individuals or Households; State, Local, and Tribal Governments.
Abstract: Under the RUIA, the Railroad Retirement Board provides
job placement assistance for unemployed railroad workers. The
collection obtains information from job applicants, railroad employers,
and State Employment Service offices for use in placement, for
providing referrals for job openings, reports of referral results and
for verifying and monitoring claimant eligibility.
Changes proposed: The RRB proposes no revisions to the forms in the
collection.
The burden estimate for the ICR is as follows:

----------------------------------------------------------------------------------------------------------------
Annual Time Burden
Form No. responses (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
ES-2............................................................ 3,750 .25 16
ES-21........................................................... 80 .68 0.9
ES-21c.......................................................... 25 1.50 0.6
UI-35 in person................................................. 6,300 7.00 735
UI-35 by mail................................................... 700 10.50 123
Job Vacancies................................................... 470 10.00 78
-----------------------------------------------
Total....................................................... 11,325 .............. 953
----------------------------------------------------------------------------------------------------------------

2. Title and Purpose of information collection: Certification
Regarding Rights to Unemployment Benefits; OMB 3220-0079
Under Section 4 of the Railroad Unemployment Insurance Act (RUIA),
an employee who leaves work voluntarily is disqualified for
unemployment benefits unless the employee left work for good cause and
is not qualified for unemployment benefits under any other law. RRB
Form

[[Page 11664]]

UI-45, Claimant's Statement--Voluntary Leaving of Work, is used by the
RRB to obtain the claimant's statement when the claimant, the
claimant's employer, or another source indicates that the claimant has
voluntarily left work.
Completion of Form UI-45 is required to obtain or retain benefits.
One response is received from each respondent.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (81 FR 89522 on December 12, 2016) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

Title: Certification Regarding Rights to Unemployment Benefits.
OMB Control Number: 3220-0079.
Form(s) submitted: UI-45.
Type of request: Extension without change of a currently approved
collection.
Affected public: Individuals or Households.
Abstract: In administering the disqualification for the voluntary
leaving of work provision of Section 4 of the Railroad Unemployment
Insurance Act, the Railroad Retirement Board investigates an
unemployment claim that indicates the claimant left voluntarily. The
certification obtains information needed to determine if the leaving
was for good cause.
Changes proposed: The RRB proposes no changes to Form UI-45.
The burden estimate for the ICR is as follows:

3. Title and Purpose of information collection: Self-Employment and
Substantial Service Questionnaire; OMB 3220-0138.
Section 2 of the Railroad Retirement Act (RRA) provides for payment
of annuities to qualified employees and their spouses. In order to
receive an age and service annuity, Section 2(e)(3) states that an
applicant must stop all railroad work and give up any rights to return
to such work. However, applicants are not required to stop nonrailroad
work or self-employment.
The RRB considers some work claimed as ``self-employment'' to
actually be employment for an employer. Whether the RRB classifies a
particular activity as self-employment or as work for an employer
depends upon the circumstances of each case. These circumstances are
prescribed in 20 CFR 216.
Under the 1988 amendments to the RRA, an applicant is no longer
required to stop work for a ``Last Pre-Retirement Nonrailroad
Employer'' (LPE). However, Section 2(f)(6) of the RRA requires that a
portion of the employee's Tier II benefit and supplemental annuity be
deducted for earnings from the ``LPE.''
The ``LPE'' is defined as the last person, company, or institution
with whom the employee or spouse applicant was employed concurrently
with, or after, the applicant's last railroad employment and before
their annuity beginning date. If a spouse never worked for a railroad,
the LPE is the last person for whom he or she worked.
The RRB utilizes Form AA-4, Self-Employment and Substantial Service
Questionnaire, to obtain information needed to determine if the work
the applicant claims is self-employment is really self-employment or
work for an LPE or railroad service. If the work is self-employment,
the questionnaire identifies any month in which the applicant did not
perform substantial service. Completion is voluntary. However, failure
to complete the form 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 (81 FR 89522 on December 12, 2016) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

Title: Self-Employment and Substantial Service Questionnaire.
OMB Control Number: 3220-0138.
Form(s) submitted: AA-4.
Type of request: Extension without change of a currently approved
collection.
Affected public: Individuals or Households.
Abstract: Section 2 of the Railroad Retirement Act (RRA) provides
for payment of annuities to qualified employees and their spouses. Work
for a Last Pre-Retirement Nonrailroad Employer (LPE), and work in self-
employment affect payment in different ways. This collection obtains
information to determine whether claimed self-employment is really
self-employment, and not work for a railroad or LPE.
Changes proposed: The RRB proposes no changes to Form AA-4.
The burden estimate for the ICR is as follows:

4. Title and purpose of information collection: Withholding
Certificate for Railroad Retirement Monthly Annuity Payments; OMB 3220-
0149.
The Internal Revenue Code requires that all payers of tax liable
private pensions to U.S. citizens or residents: (1) Notify each
recipient at least concurrent with initial withholding that the payer
is, in fact, withholding benefits for tax liability and that the
recipient has the option of electing not to have the payer withhold, or
to withhold at a specific rate; (2) withhold benefits for tax purposes
(in the absence of the recipient's election not to withhold benefits);
and (3) notify all beneficiaries, at least annually, that they have the
option to change their withholding status or elect not to have benefits
withheld.
The RRB provides Form RRB-W4P, Withholding Certificate for Railroad

[[Page 11665]]

Retirement Payments, to its annuitants to exercise their withholding
options.
Completion of the form is required to obtain or retain a benefit.
One response is requested of each respondent.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (81 FR 89998 on December 13, 2016) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

Title: Withholding Certificate for Railroad Retirement Monthly
Annuity Payments.
OMB Control Number: 3220-0149.
Form(s) submitted: RRB W-4P.
Type of request: Extension without change of a currently approved
collection.
Affected public: Individuals or Households.
Abstract: Under Public Law 98-76, railroad retirement
beneficiaries' Tier II, dual vested and supplemental benefits are
subject to income tax under private pension rules. Under Public Law 99-
514, the non-social security equivalent benefit portion of Tier I is
also taxable under private pension rules. The collection obtains the
information needed by the Railroad Retirement Board to implement the
income tax withholding provisions.
Changes proposed: The RRB proposes no changes to Form RRB W-4P.
The burden estimate for the ICR is as follows:
Estimated annual number of respondents: 25,000.
Total annual responses: 25,000.
Total annual reporting hours: 1.
5. Title and Purpose of information collection: Earnings
Information Request; OMB 3220-0184 Under Section 2 of the Railroad
Retirement Act, an annuity is not payable, or is reduced for any
month(s) in which the beneficiary works for a railroad or earns more
than prescribed amounts. The provisions relating to the reduction or
non-payment of annuities by reason of work are prescribed in 20 CFR
230.
The RRB utilizes Form G-19-F, Earnings Information Request, to
obtain earnings information that either had not been previously
reported or erroneously reported by a beneficiary.
Currently the claimant is asked to enter the date they stopped
working, if applicable. If a respondent fails to complete the form, the
RRB may be unable to pay them benefits. One response is requested of
each respondent.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (81 FR 89998 on December 13, 2016) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

Title: Earnings Information Request.
OMB Control Number: 3220-0184.
Form(s) submitted: G-19-F.
Type of request: Revision of a currently approved collection.
Affected public: Individuals or Households.
Abstract: Under Section 2 of the Railroad Retirement Act, an
annuity is not payable, or is reduced for any month(s) in which the
beneficiary works for a railroad or earns more than prescribed amounts.
The collection obtains earnings information not previously or
erroneously reported by a beneficiary.
Changes proposed: The RRB proposes the implementation of an
Internet-based equivalent Form G-19F. It will be available for
downloading from the RRB's Web site at www.rrb.gov. It will collect the
same information as the approved version but will be fillable and
printable online. No other changes are proposed.
The burden estimate for the ICR is as follows:

6. Title and Purpose of information collection: Designation of
Contact Officials; 3220-0200. Coordination between railroad employers
and the RRB is essential to properly administer the payment of benefits
under the Railroad Retirement Act (RRA) and the Railroad Unemployment
Insurance Act (RUIA). In order to enhance timely coordination activity,
the RRB utilizes Form G-117A, Designation of Contact Officials. Form G-
117A is used by railroad employers to designate employees who are to
act as point of contact with the RRB on a variety of RRA and RUIA-
related matters.
Completion is voluntary. One response is requested from each
respondent.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (81 FR 89522 on December 12, 2016) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

Title: Designation of Contact Officials.
OMB Control Number: 3220-0200.
Form(s) submitted: G-117A.
Type of request: Extension without change of a currently approved
collection.
Affected public: Private Sector; Businesses or other for profits.
Abstract: The Railroad Retirement Board (RRB) requests that
railroad employers designate employees to act as liaison with the RRB
on a variety of Railroad Retirement Act and Railroad Unemployment
Insurance Act matters.
Changes proposed: The RRB proposes no revisions to Form G-117A.
The burden estimate for the ICR is as follows:

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 Brian Foster, Railroad Retirement Board, 844 North Rush Street,
Chicago, Illinois 60611-1275 or emailed to Brian.Foster@rrb.gov. and to
the OMB Desk Officer for the RRB, Fax: 202-395-6974, Email

[[Page 11666]]

address: OIRA_Submission@omb.eop.gov.

Brian D. Foster,
Clearance Officer.
[FR Doc. 2017-03578 Filed 2-23-17; 8:45 am]
BILLING CODE 7905-01-P

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