Agency Forms Submitted for OMB Review, Request for Comments, 48730-48732 [2017-22647]

Agencies

• Railroad Retirement Board

[Federal Register Volume 82, Number 201 (Thursday, October 19, 2017)]
[Notices]
[Pages 48730-48732]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-22647]


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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, 
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 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: Certification of 
Termination of Service and Relinquishment of Rights; OMB 3220-0016.
    Under Section 2(e)(2) of the Railroad Retirement Act (RRA), an age 
and service annuity, spouse annuity, or divorced spouse annuity cannot 
be paid unless the Railroad Retirement Board (RRB) has evidence that 
the applicant has ceased railroad employment and

[[Page 48731]]

relinquished rights to return to the service of a railroad employer. 
Under Section 2(f)(6) of the RRA, earnings deductions are required for 
each month an annuitant works in certain non-railroad employment termed 
Last Pre-Retirement Non-Railroad Employment.
    Normally, the employee, spouse, or divorced spouse relinquishes 
rights and certifies that employment has ended as part of the annuity 
application process. However, this is not always the case. In limited 
circumstances, the RRB utilizes Form G-88, Certification of Termination 
of Service and Relinquishment of Rights, to obtain an applicant's 
report of termination of employment and relinquishment of rights. One 
response is required of each respondent. Completion is required to 
obtain or retain benefits.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (82 FR 37133 on August 8, 2017) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Certification of Termination of Service and Relinquishment 
of Rights.
    OMB Control Number: 3220-0016.
    Form(s) submitted: G-88.
    Type of request: Extension without change of a currently approved 
collection.
    Affected public: Individuals or Households.
    Abstract: Under Section 2(e)(2) of the Railroad Retirement Act, the 
Railroad Retirement Board must have evidence that an annuitant for an 
age and service, spouse, or divorced spouse annuity has ceased railroad 
employment and relinquished their rights to return to the service of a 
railroad employer. The collection provides the means for obtaining this 
evidence.
    Changes proposed: The RRB proposes no changes to Form G-88.
    The burden estimate for the ICR is as follows:

----------------------------------------------------------------------------------------------------------------
                                                                    Annual
                           Form No.                               responses      Time (minutes)   Burden (hours)
----------------------------------------------------------------------------------------------------------------
G-88.........................................................           3,600                6              360
----------------------------------------------------------------------------------------------------------------

    2. Title and Purpose of information collection: Statement of 
Authority to Act for Employee; OMB 3220-0034.
    Under Section 5(a) of the Railroad Unemployment Insurance Act 
(RUIA), claims for benefits are to be made in accordance with such 
regulations as the Railroad Retirement Board (RRB) shall prescribe. The 
provisions for claiming sickness benefits as provided by Section 2 of 
the RUIA are prescribed in 20 CFR 335.2. Included in these provisions 
is the RRB's acceptance of forms executed by someone else on behalf of 
an employee if the RRB is satisfied that the employee is sick or 
injured to the extent of being unable to sign forms.
    The RRB utilizes Form SI-10, Statement of Authority to Act for 
Employee, to provide the means for an individual to apply for authority 
to act on behalf of an incapacitated employee and also to obtain the 
information necessary to determine that the delegation should be made. 
Part I of the form is completed by the applicant for the authority and 
Part II is completed by the employee's doctor. One response is 
requested of each respondent. Completion is required to obtain 
benefits.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (82 FR 37134 on August 8, 2017) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Statement of Authority to Act for Employee.
    OMB Control Number: 3220-0034.
    Form(s) submitted: SI-10.
    Type of request: Extension without change of a currently approved 
collection.
    Affected public: Individuals or Households.
    Abstract: Under 20 CFR 335.2, the Railroad Retirement Board (RRB) 
accepts claims for sickness benefits by other than the sick or injured 
employees, provided the RRB has the information needed to satisfy 
itself that the delegation should be made.
    Changes proposed: The RRB proposes no changes to Form SI-10.
    The burden estimate for the ICR is as follows:

----------------------------------------------------------------------------------------------------------------
                                                                    Annual
                           Form No.                               responses      Time (minutes)   Burden (hours)
----------------------------------------------------------------------------------------------------------------
SI-10........................................................              32                6                3
----------------------------------------------------------------------------------------------------------------

    3. Title and Purpose of information collection: Employee Non-
Covered Service Pension Questionnaire; OMB 3220-0154.
    Section 215(a)(7) of the Social Security Act provides for a 
reduction in social security benefits based on employment not covered 
under the Social Security Act or the Railroad Retirement Act (RRA). 
This provision applies a different social security benefit formula to 
most workers who are first eligible after 1985 to both a pension based 
in whole or in part on non-covered employment and a social security 
retirement or disability benefit. There is a guarantee provision that 
limits the reduction in the social security benefit to one-half of the 
portion of the pension based on non-covered employment after 1956. 
Section 8011 of Public Law 100-647 changed the effective date of the 
onset from the first month of eligibility to the first month of 
concurrent entitlement to the non-covered service benefit and the RRA 
benefit.
    Section 3(a)(1) of the RRA provides that the Tier I benefit of an 
employee annuity shall be equal to the amount (before any reduction for 
age or deduction for work) the employee would receive if entitled to a 
like benefit under the Social Security Act. The reduction for a non-
covered service pension also applies to a Tier I portion of the 
employee annuity under the RRA when the annuity or non-covered service 
pension begins after 1985. Since the amount of a spouse's Tier I 
benefit is one-half of the employee's Tier I, the spouse annuity is 
also affected.
    Form G-209, Employee Non-Covered Service Pension Questionnaire, is 
used by the RRB to obtain needed information (1) from a railroad 
employee who while completing Form AA-1, Application for Employee

[[Page 48732]]

Annuity (OMB No. 3220-0002), indicates entitlement to or receipt of a 
pension based on employment not covered under the Railroad Retirement 
Act or the Social Security Act; or (2) from a railroad employee when an 
independently-entitled divorced spouse applicant believes the employee 
to be entitled to a non-covered service pension. However, this 
development is unnecessary if RRB records indicate the employee has 30 
or more years of coverage; or (3) from an employee annuitant who 
becomes entitled to a pension based on employment not covered under the 
Railroad Retirement Act or the Social Security Act. One response is 
requested of each respondent. Completion is required to obtain or 
retain benefits.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (82 FR 37134 on August 8, 2017) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Employee Non-Covered Service Pension Questionnaire.
    OMB Control Number: 3220-0154.
    Form(s) submitted: G-209.
    Type of request: Extension without change of a currently approved 
collection.
    Affected public: Individuals or Households.
    Abstract: Under Section 3 of the Railroad Retirement Act, the Tier 
I portion of an employee annuity may be subjected to a reduction for 
benefits received based on work not covered under the Social Security 
Act or Railroad Retirement Act. The questionnaire obtains the 
information needed to determine if the reduction applies and the amount 
of such reduction.
    Changes proposed: The RRB proposes no changes to Form G-209.
    The burden estimate for the ICR is as follows:

----------------------------------------------------------------------------------------------------------------
                                                                      Annual
                            Form No.                                 responses    Time (minutes)  Burden (hours)
----------------------------------------------------------------------------------------------------------------
G-209 (Partial Questionnaire)...................................              50               1               1
G-209 (Full Questionnaire)......................................             100               8              13
                                                                 -----------------------------------------------
    Total.......................................................             150  ..............              14
----------------------------------------------------------------------------------------------------------------

    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 Brian.Foster@rrb.gov and to the OMB 
Desk Officer for the RRB, Fax: 202-395-6974, Email address: 
OIRA_Submission@omb.eop.gov.

Brian D. Foster,
Clearance Officer.
[FR Doc. 2017-22647 Filed 10-18-17; 8:45 am]
BILLING CODE 7905-01-P