Proposed Collection; Comment Request, 5734 [2019-03048]
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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
VerDate Sep<11>2014
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
]]>Agencies
[Federal Register Volume 84, Number 36 (Friday, February 22, 2019)]
[Notices]
[Page 5734]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-03048]
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RAILROAD RETIREMENT BOARD
Proposed Collection; Comment Request
Summary: In accordance with the requirement of Section 3506
(c)(2)(A) of the Paperwork Reduction Act of 1995 which provides
opportunity for public comment on new or revised data 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
----------------------------------------------------------------------------------------------------------------
Annual
Form No. 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
