Proposed Collection; Comment Request, 5734 [2019-03048]

Download as PDF 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