Proposed Collection; Comment Request, 5734-5736 [2019-03036]
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5734
Federal Register / Vol. 84, No. 36 / Friday, February 22, 2019 / Notices
community supervision and
participants or those who successfully
complete the program, are not
considered to have been convicted. The
proposed change closes a gap for those
who participate in or successfully
complete this type of alternative
disposition and may not have to answer
affirmatively to the current question and
report the details of the offense.
• Question 11, ‘‘Are you currently
under charges for any violation of law?’’
was amended to ‘‘Are you currently
under charges for any violation of law,
on trial or awaiting a trail on criminal
charges?’’
• Question 12, related to reasons for
leaving employment, was organized into
bullet points to improve readability.
• Question 13, related to financial
delinquency, was amended to clarify
that its coverage includes co-signers and
guarantors as well as sole debtors.
• Continuation Space/Agency
Optional Questions, item 16, was
reorganized for greater clarity.
• Certifications/Additional
Questions, APPLICANT instructions
were amended to instruct the applicant
to read and complete the form’s
certification paragraph, and a separate
new consent statement.
• The ‘‘I consent’’ paragraph was
separated from the ‘‘I certify’’ paragraph,
and each paragraph must be signed and
dated. Also added was an explanation
that ‘‘This consent is valid for two (2)
years from the date signed below, or
expires when my affiliation with the
Federal Government ends, whichever is
sooner.’’
Analysis
Agency: NBIB, U.S. Office of
Personnel Management.
Title: Declaration for Federal
Employment, Optional Form (OF) 306.
OMB Number: 3206–0182.
Affected Public: Individuals.
Number of Respondents: 315,478.
Estimated Time Per Respondent: 15
minutes.
Total Burden Hours: 78,870.
Office of Personnel Management.
Alexys Stanley,
Regulatory Affairs Analyst.
[FR Doc. 2019–03056 Filed 2–21–19; 8:45 am]
BILLING CODE 6325–53–P
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
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: Request for Medicare
Payment; OMB 3220–0131
Under Section 7(d) of the Railroad
Retirement Act, the RRB administers the
Medicare program for persons covered
by the railroad retirement system. The
collection obtains the information
needed by Palmetto GBA, the Medicare
carrier for railroad retirement
beneficiaries, to pay claims for
payments under Part B of the Medicare
program. Authority for collecting the
information is prescribed in 42 CFR
424.32.
The RRB currently utilizes Forms G–
740S, Patient’s Request for Medicare
Payment, along with Centers for
Medicare & Medicaid Services Form
CMS–1500, to secure the information
necessary to pay Part B Medicare
Claims. One response is completed for
each claim. Completion is required to
obtain a benefit. The RRB proposes the
following changes to Form G–740S:
• Changed Item 2a from ‘‘Medicare
Claim’’ to ‘‘Medicare Number’’
• Replaced the 12-digit Claim Number
field with an 11-digit Medicare
Number field
ESTIMATE OF ANNUAL RESPONDENT BURDEN
Form No.
Annual
responses
Time
(minutes)
Burden
(hours)
G–740S ........................................................................................................................................
1
0
1
Additional Information or Comments:
To request more information or to
obtain a copy of the information
collection justification, forms, and/or
supporting material, contact Brian
Foster at (312) 751–4826 or
Brian.Foster@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.
Written comments should be received
within 60 days of this notice.
Brian Foster,
Clearance Officer.
[FR Doc. 2019–03048 Filed 2–21–19; 8:45 am]
BILLING CODE 7905–01–P
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16:52 Feb 21, 2019
Jkt 247001
RAILROAD RETIREMENT BOARD
Proposed Collection; Comment
Request
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 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
PO 00000
Frm 00075
Fmt 4703
Sfmt 4703
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.
1. Title and purpose of information
collection: Employer Reporting; 3220–
0005.
Under Section 9 of the Railroad
Retirement Act (RRA), and Section 6 of
the Railroad Unemployment Insurance
Act (RUIA), railroad employers are
required to submit reports of employee
service and compensation to the RRB as
needed for administering the RRA and
RUIA. To pay benefits due on a
deceased employee’s earnings records or
determine entitlement to, and amount of
E:\FR\FM\22FEN1.SGM
22FEN1
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Federal Register / Vol. 84, No. 36 / Friday, February 22, 2019 / Notices
annuity applied for, it is necessary at
times to obtain from railroad employers
current (lag) service and compensation
not yet reported to the RRB through the
annual reporting process. The reporting
requirements are specified in 20 CFR
209.6 and 209.7. The RRB currently
utilizes the following forms to collect
information to obtain the required lag
service and related information from
railroad employers: Form AA–12,
Notice of Death and Request for Service
Needed for Eligibility, Form G–88A.1 (or
its internet equivalent, Form G–88A.1
(internet)), Request for Verification of
Date Last Worked, and Form G–88A.2
(or its internet equivalent, Form G–
88A.2 (internet)), Notice of Retirement
and Request for Service Needed for
Eligibility. Form AA–12 obtains a report
of lag service and compensation from
the last railroad employer of a deceased
employee. This report covers the lag
period between the date of the latest
record of employment processed by the
RRB and the date an employee last
worked, the date of death or the date the
employee may have been entitled to
benefits under the Social Security Act.
The information is used by the RRB to
determine benefits due on the deceased
employee’s earnings record. Form G–
88A.1 is sent by the RRB via a
computer-generated listing or
transmitted electronically via the RRB’s
Employer Reporting System (ERS) to
employers. ERS consists of a series of
screens with completion instructions
and collects essentially the same
information as the approved manual
version. Form G–88A.1 is used for the
specific purpose of verifying
information previously provided to the
RRB regarding the date last worked by
an employee. If the information is
correct, the employer need not reply. If
the information is incorrect, the
employer is asked to provide corrected
information. Form G–88A.2 is used by
the RRB to secure lag service and
compensation information when it is
needed to determine benefit eligibility.
The RRB proposes minor non-burden
impacting changes to Forms AA–12, G–
88A.1 (internet), G–88A.2 (internet).
The RRB proposes no changes to Forms
G–88A.1 and G–88A.2.
In addition, 20 CFR 209.12(b) requires
all railroad employers to furnish the
RRB with the home addresses of all
employees hired within the last year
(new-hires). Form BA–6a, Form BA–6
Address Report (or its internet
equivalent, Form BA–6a (internet)) is
used by the RRB to obtain home address
information of employees from railroad
employers who do not have the home
address information computerized and
who submit the information in a paper
format. The form also serves as an
instruction sheet to railroad employers
who submit the information
electronically by CD–ROM. Completion
of the forms is mandatory. Multiple
responses may be filed by respondent.
The RRB proposes minor non-burden
impacting editorial changes to Form
BA–6a (internet). The RRB proposes no
changes to Form BA–6a.
ESTIMATE OF ANNUAL RESPONDENT BURDEN
Annual
responses
Form No.
Time
(minutes)
Burden
(hours)
AA–12 ..........................................................................................................................................
G–88A.1 .......................................................................................................................................
G–88A.1 Internet .........................................................................................................................
G–88A.1 Internet (Class I railroads) ............................................................................................
G–88A.2 .......................................................................................................................................
G–88A.2 (Internet) .......................................................................................................................
BA–6a (CD–ROM) .......................................................................................................................
BA–6a (E-mail) ............................................................................................................................
BA–6a (File Transfer Protocol) ....................................................................................................
BA–6a Internet (RR initiated) ......................................................................................................
BA–6a Internet (RRB initiated) ....................................................................................................
BA–6a Paper (RR initiated) .........................................................................................................
BA–6a Paper (RRB initiated) .......................................................................................................
60
100
260
144
100
1,200
14
30
10
250
250
80
250
5
5
4
16
5
2.5
15
15
15
17
12
32
32
5
8
17
38
8
50
4
8
3
71
50
43
133
Total ......................................................................................................................................
2,748
........................
438
2. Title and purpose of information
collection: Employee Representative’s
Status and Compensation Reports; OMB
3220–0014.
Under Section 1(b)(1) of the Railroad
Retirement Act (RRA), the term
‘‘employee’’ includes an individual who
is an employee representative. As
defined in Section 1(c) of the RRA, an
employee representative is an officer or
official representative of a railway labor
organization other than a labor
organization included in the term
‘‘employer,’’ as defined in the RRA, who
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16:52 Feb 21, 2019
Jkt 247001
before or after August 29, 1935, was in
the service of an employer under the
RRA and who is duly authorized and
designated to represent employees in
accordance with the Railway Labor Act,
or, any individual who is regularly
assigned to or regularly employed by
such officer or official representative in
connection with the duties of his or her
office. The requirements relating to the
application for employee representative
status and the periodic reporting of the
compensation resulting from such status
is contained in 20 CFR 209.10.
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Fmt 4703
Sfmt 4703
The RRB utilizes Form DC–2,
Employee Representative’s Report of
Compensation, to obtain the
information needed to determine
employee representative status and to
maintain a record of creditable service
and compensation resulting from such
status. Completion is required to obtain
or retain a benefit. One response is
requested of each respondent. The RRB
proposes minor non-burden impacting
editorial changes to Form DC–2.
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Federal Register / Vol. 84, No. 36 / Friday, February 22, 2019 / Notices
ESTIMATE OF ANNUAL RESPONDENT BURDEN
Annual
responses
Form No.
Time
(minutes)
Burden
(hours)
DC–2 ............................................................................................................................................
82
30
41
Total ......................................................................................................................................
82
........................
41
3. Title and purpose of information
collection: Survivor Questionnaire;
OMB 3220–0032.
Under Section 6 of the Railroad
Retirement Act (RRA), benefits that may
be due on the death of a railroad
employee or a survivor annuitant
include (1) a lump-sum death benefit (2)
a residual lump-sum payment (3)
accrued annuities due but unpaid at
death, and (4) monthly survivor
insurance payments. The requirements
for determining the entitlement of
possible beneficiaries to these benefits
are prescribed in 20 CFR 234.
When the RRB receives notification of
the death of a railroad employee or
survivor annuitant, an RRB field office
utilizes Form RL–94–F, Survivor
Questionnaire, to secure additional
information from surviving relatives
needed to determine if any further
benefits are payable under the RRA.
Completion is voluntary. One response
is requested of each respondent. The
RRB proposes minor non-burden
impacting editorial changes to Form
RL–94–F.
ESTIMATE OF ANNUAL RESPONDENT BURDEN
Annual
responses
Form No.
Time
(minutes)
Burden
(hours)
RL–94–F Items 5–10, and 18 ......................................................................................................
RL–94–F, Items 5–18 ..................................................................................................................
RL–94–F, Item 18 only ................................................................................................................
50
5,000
400
9
11
5
8
917
34
Total ......................................................................................................................................
5,450
........................
959
4. Title and purpose of information
collection: Employer’s Deemed Service
Month Questionnaire; OMB 3220–0156
Section 3 (i) of the Railroad
Retirement Act (RRA), as amended by
Public Law 98–76, provides that the
Railroad Retirement Board (RRB), under
certain circumstances, may deem
additional months of service in cases
where an employee does not actually
work in every month of the year,
provided the employee satisfies certain
eligibility requirements, including the
existence of an employment relation
between the employee and his or her
employer. The procedures pertaining to
the deeming of additional months of
service are found in the RRB’s
regulations at 20 CFR 210, Creditable
Railroad Service.
The RRB utilizes Form GL–99,
Employer’s Deemed Service Months
Questionnaire, to obtain service and
compensation information from railroad
employers to determine if an employee
can be credited with additional deemed
months of railroad service. Completion
is mandatory. One response is required
for each RRB inquiry. The RRB proposes
non-burden impacting editorial changes
to Form GL–99.
ESTIMATE OF ANNUAL RESPONDENT BURDEN
Form No.
Annual
responses
Time
(minutes)
Burden
(hours)
GL–99 ..........................................................................................................................................
2,000
2
67
Additional Information or Comments:
To request more information or to
obtain a copy of the information
collection justification, forms, and/or
supporting material, contact Brian
Foster at (312) 751–4826 or
Brian.Foster@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.
Written comments should be received
within 60 days of this notice.
Brian Foster,
Clearance Officer.
[FR Doc. 2019–03036 Filed 2–21–19; 8:45 am]
BILLING CODE 7905–01–P
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19:16 Feb 21, 2019
Jkt 247001
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Agencies
[Federal Register Volume 84, Number 36 (Friday, February 22, 2019)]
[Notices]
[Pages 5734-5736]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-03036]
-----------------------------------------------------------------------
RAILROAD RETIREMENT BOARD
Proposed Collection; Comment Request
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 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.
1. Title and purpose of information collection: Employer Reporting;
3220-0005.
Under Section 9 of the Railroad Retirement Act (RRA), and Section 6
of the Railroad Unemployment Insurance Act (RUIA), railroad employers
are required to submit reports of employee service and compensation to
the RRB as needed for administering the RRA and RUIA. To pay benefits
due on a deceased employee's earnings records or determine entitlement
to, and amount of
[[Page 5735]]
annuity applied for, it is necessary at times to obtain from railroad
employers current (lag) service and compensation not yet reported to
the RRB through the annual reporting process. The reporting
requirements are specified in 20 CFR 209.6 and 209.7. The RRB currently
utilizes the following forms to collect information to obtain the
required lag service and related information from railroad employers:
Form AA-12, Notice of Death and Request for Service Needed for
Eligibility, Form G-88A.1 (or its internet equivalent, Form G-88A.1
(internet)), Request for Verification of Date Last Worked, and Form G-
88A.2 (or its internet equivalent, Form G-88A.2 (internet)), Notice of
Retirement and Request for Service Needed for Eligibility. Form AA-12
obtains a report of lag service and compensation from the last railroad
employer of a deceased employee. This report covers the lag period
between the date of the latest record of employment processed by the
RRB and the date an employee last worked, the date of death or the date
the employee may have been entitled to benefits under the Social
Security Act. The information is used by the RRB to determine benefits
due on the deceased employee's earnings record. Form G-88A.1 is sent by
the RRB via a computer-generated listing or transmitted electronically
via the RRB's Employer Reporting System (ERS) to employers. ERS
consists of a series of screens with completion instructions and
collects essentially the same information as the approved manual
version. Form G-88A.1 is used for the specific purpose of verifying
information previously provided to the RRB regarding the date last
worked by an employee. If the information is correct, the employer need
not reply. If the information is incorrect, the employer is asked to
provide corrected information. Form G-88A.2 is used by the RRB to
secure lag service and compensation information when it is needed to
determine benefit eligibility. The RRB proposes minor non-burden
impacting changes to Forms AA-12, G-88A.1 (internet), G-88A.2
(internet). The RRB proposes no changes to Forms G-88A.1 and G-88A.2.
In addition, 20 CFR 209.12(b) requires all railroad employers to
furnish the RRB with the home addresses of all employees hired within
the last year (new-hires). Form BA-6a, Form BA-6 Address Report (or its
internet equivalent, Form BA-6a (internet)) is used by the RRB to
obtain home address information of employees from railroad employers
who do not have the home address information computerized and who
submit the information in a paper format. The form also serves as an
instruction sheet to railroad employers who submit the information
electronically by CD-ROM. Completion of the forms is mandatory.
Multiple responses may be filed by respondent. The RRB proposes minor
non-burden impacting editorial changes to Form BA-6a (internet). The
RRB proposes no changes to Form BA-6a.
Estimate of Annual Respondent Burden
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
AA-12........................................................... 60 5 5
G-88A.1......................................................... 100 5 8
G-88A.1 Internet................................................ 260 4 17
G-88A.1 Internet (Class I railroads)............................ 144 16 38
G-88A.2......................................................... 100 5 8
G-88A.2 (Internet).............................................. 1,200 2.5 50
BA-6a (CD-ROM).................................................. 14 15 4
BA-6a (E-mail).................................................. 30 15 8
BA-6a (File Transfer Protocol).................................. 10 15 3
BA-6a Internet (RR initiated)................................... 250 17 71
BA-6a Internet (RRB initiated).................................. 250 12 50
BA-6a Paper (RR initiated)...................................... 80 32 43
BA-6a Paper (RRB initiated)..................................... 250 32 133
-----------------------------------------------
Total....................................................... 2,748 .............. 438
----------------------------------------------------------------------------------------------------------------
2. Title and purpose of information collection: Employee
Representative's Status and Compensation Reports; OMB 3220-0014.
Under Section 1(b)(1) of the Railroad Retirement Act (RRA), the
term ``employee'' includes an individual who is an employee
representative. As defined in Section 1(c) of the RRA, an employee
representative is an officer or official representative of a railway
labor organization other than a labor organization included in the term
``employer,'' as defined in the RRA, who before or after August 29,
1935, was in the service of an employer under the RRA and who is duly
authorized and designated to represent employees in accordance with the
Railway Labor Act, or, any individual who is regularly assigned to or
regularly employed by such officer or official representative in
connection with the duties of his or her office. The requirements
relating to the application for employee representative status and the
periodic reporting of the compensation resulting from such status is
contained in 20 CFR 209.10.
The RRB utilizes Form DC-2, Employee Representative's Report of
Compensation, to obtain the information needed to determine employee
representative status and to maintain a record of creditable service
and compensation resulting from such status. Completion is required to
obtain or retain a benefit. One response is requested of each
respondent. The RRB proposes minor non-burden impacting editorial
changes to Form DC-2.
[[Page 5736]]
Estimate of Annual Respondent Burden
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
DC-2............................................................ 82 30 41
-----------------------------------------------
Total....................................................... 82 .............. 41
----------------------------------------------------------------------------------------------------------------
3. Title and purpose of information collection: Survivor
Questionnaire; OMB 3220-0032.
Under Section 6 of the Railroad Retirement Act (RRA), benefits that
may be due on the death of a railroad employee or a survivor annuitant
include (1) a lump-sum death benefit (2) a residual lump-sum payment
(3) accrued annuities due but unpaid at death, and (4) monthly survivor
insurance payments. The requirements for determining the entitlement of
possible beneficiaries to these benefits are prescribed in 20 CFR 234.
When the RRB receives notification of the death of a railroad
employee or survivor annuitant, an RRB field office utilizes Form RL-
94-F, Survivor Questionnaire, to secure additional information from
surviving relatives needed to determine if any further benefits are
payable under the RRA. Completion is voluntary. One response is
requested of each respondent. The RRB proposes minor non-burden
impacting editorial changes to Form RL-94-F.
Estimate of Annual Respondent Burden
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
RL-94-F Items 5-10, and 18...................................... 50 9 8
RL-94-F, Items 5-18............................................. 5,000 11 917
RL-94-F, Item 18 only........................................... 400 5 34
-----------------------------------------------
Total....................................................... 5,450 .............. 959
----------------------------------------------------------------------------------------------------------------
4. Title and purpose of information collection: Employer's Deemed
Service Month Questionnaire; OMB 3220-0156
Section 3 (i) of the Railroad Retirement Act (RRA), as amended by
Public Law 98-76, provides that the Railroad Retirement Board (RRB),
under certain circumstances, may deem additional months of service in
cases where an employee does not actually work in every month of the
year, provided the employee satisfies certain eligibility requirements,
including the existence of an employment relation between the employee
and his or her employer. The procedures pertaining to the deeming of
additional months of service are found in the RRB's regulations at 20
CFR 210, Creditable Railroad Service.
The RRB utilizes Form GL-99, Employer's Deemed Service Months
Questionnaire, to obtain service and compensation information from
railroad employers to determine if an employee can be credited with
additional deemed months of railroad service. Completion is mandatory.
One response is required for each RRB inquiry. The RRB proposes non-
burden impacting editorial changes to Form GL-99.
Estimate of Annual Respondent Burden
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
GL-99........................................................ 2,000 2 67
----------------------------------------------------------------------------------------------------------------
Additional Information or Comments: To request more information or
to obtain a copy of the information collection justification, forms,
and/or supporting material, contact Brian Foster at (312) 751-4826 or
Brian.Foster@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. Written comments should be received within 60
days of this notice.
Brian Foster,
Clearance Officer.
[FR Doc. 2019-03036 Filed 2-21-19; 8:45 am]
BILLING CODE 7905-01-P