Agency Forms Submitted for OMB Review, Request for Comments, 6840-6842 [2019-03487]
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6840
Federal Register / Vol. 84, No. 40 / Thursday, February 28, 2019 / Notices
Offices of the Corporation,
Twelfth Floor Board Room, 1100 New
York Avenue, NW, Washington, DC
STATUS: Meeting OPEN to the Public
from 2 p.m. to 2:15 p.m. Closed portion
will commence at 2:15 p.m. (approx.)
MATTERS TO BE CONSIDERED:
1. President’s Report
2. Tribute—Ray W. Washburne
3. Tribure—James Demers
4. Minutes of the Open Session of the
December 13, 2018, Board of
Directors Meeting
PLACE:
FURTHER MATTERS TO BE CONSIDERED
(CLOSED TO THE PUBLIC 2:15 P.M.):
1. Finance Project—Colombia
2. Finance Project—El Salvador
3. Finance Project—Latin America
4. Finance Project—Southeast Asia
5. Finance Project—Global
6. Minutes of the Closed Session of the
December 13, 2018, Board of
Directors Meeting
7. Reports
8. Pending Projects
CONTACT PERSON FOR MORE INFORMATION:
Information on the meeting may be
obtained from Catherine F.I. Andrade at
(202) 336–8768, or via email at
Catherine.Andrade@opic.gov.
Dated: February 26, 2019.
Catherine Andrade,
Corporate Secretary, Overseas Private
Investment Corporation.
[FR Doc. 2019–03640 Filed 2–26–19; 11:15 am]
BILLING CODE 3210–01–P
RAILROAD RETIREMENT BOARD
khammond on DSKBBV9HB2PROD with NOTICES
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
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
VerDate Sep<11>2014
17:52 Feb 27, 2019
Jkt 247001
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: Application for Survivor
Insurance Annuities; OMB 3220–0030.
Under Section 2(d) of the Railroad
Retirement Act (RRA), monthly survivor
annuities are payable to surviving
widow(er)s, parents, unmarried
children, and in certain cases, divorced
spouses, mothers (fathers), remarried
widow(er)s, and grandchildren of
deceased railroad employees if there are
no qualified survivors of the employee
immediately eligible for an annuity. The
requirements relating to the annuities
are prescribed in 20 CFR 216, 217, 218,
and 219.
To collect the information needed to
help determine an applicant’s
entitlement to, and the amount of, a
survivor annuity the RRB uses Forms
AA–17, Application for Widow(er)’s
Annuity; AA–17b, Applications for
Determination of Widow(er)’s Disability;
AA–18, Application for Mother’s/
Father’s and Child’s Annuity; AA–19,
Application for Child’s Annuity; AA–
19a, Application for Determination of
Child’s Disability; AA–20, Application
for Parent’s Annuity, and electronic
Forms AA–17cert, Application
Summary and Certification and AA–
17sum, Application Summary.
The on-line automated survivor
annuity application (Forms AA–17,
AA–18, AA–19, and AA–20) process
obtains information about an applicant’s
marital history, work history, benefits
from other government agencies, and
Medicare entitlement for a survivor
annuity. An RRB representative
interviews the applicant either at a field
office (preferred), an itinerant point, or
by telephone. During the interview, the
RRB representative enters the
information obtained into an on-line
information system. Upon completion of
the interview, the system generates, for
the applicant’s review, either Form AA–
17cert or AA–17sum, which provides a
summary of the information that the
applicant provided or verified. Form
AA–17cert, Application Summary and
Certification, requires a tradition pen
and ink ‘‘wet’’ signature. Form AA–
17sum, Application Summary,
documents the alternate signing method
called ‘‘Attestation,’’ which is an action
taken by the RRB representative to
confirm and annotate in the RRB
records (1) the applicant’s intent to file
an application; (2) the applicant’s
affirmation under penalty of perjury that
the information provided is correct; and
(3) the applicant’s agreement to sign the
PO 00000
Frm 00076
Fmt 4703
Sfmt 4703
application by proxy. When the RRB
representative is unable to contact the
applicant in person or by telephone, for
example, the applicant lives in another
country, a manual version of the
appropriate form is used. One response
is requested of each respondent.
Completion of the forms is required to
obtain a benefit.
Previous requests for comments: The
RRB has already published the initial
60-day notice (83 FR 66323 on
December 26, 2018) required by 44
U.S.C. 3506(c)(2). That request elicited
no comments.
Information Collection Request (ICR)
Title: Application for Survivor
Insurance Annuities.
OMB control number: 3220–0030.
Form(s) submitted: AA–17b, AA–
17cert, AA–17sum, and AA–19a.
Type of request: Revision of a
currently approved collection.
Affected public: Individuals or
Households.
Abstract: Under Section 2(d) of the
Railroad Retirement Act, monthly
survivor annuities are payable to
surviving widow(er)s, parents,
unmarried children, and in certain
cases, divorced wives (husbands),
mothers (fathers), remarried widow(er)s
and grandchildren of deceased railroad
employees. The collection obtains
information needed by the RRB to
determine entitlement to and the
amount of the annuity applied for.
Changes proposed: The RRB proposes
significant changes to Form AA–17b in
support of the RRB’s Disability Program
Improvement Plan (DPIP) to enhance
and improve disability case processing
and overall program integrity as
recommended by the RRB’s Office of
Inspector General and the Government
Accountability Office. Proposed changes
to Form AA–17b include the addition of
questions regarding the applicant’s
attempt to go back to work; education
and training; additional scheduled
medical care; daily activities, including
any social and recreational activities
and volunteer work; and possible use of
a facilitator or attorney to either
complete or aid in the completion of the
application. Clarification of existing
items and other non-burden impacting
editorial and formatting changes to
make the AA–17b consistent with other
DPIP forms enhancements are also being
proposed.
The burden estimate for the ICR is as
follows:
E:\FR\FM\28FEN1.SGM
28FEN1
6841
Federal Register / Vol. 84, No. 40 / Thursday, February 28, 2019 / Notices
Annual
responses
Form No.
AA–17 Application Process:
AA–17cert .............................................................................................................................
AA–17sum ............................................................................................................................
AA–17b:
(With assistance) ..................................................................................................................
(Without assistance) .............................................................................................................
AA–19a:
(With assistance) ..................................................................................................................
(Without assistance) .............................................................................................................
Total ...............................................................................................................................
2. Title and purpose of information
collection: Application for Spouse
Annuity Under the Railroad Retirement
Act; OMB 3220–0042.
Section 2(c) of the Railroad
Retirement Act (RRA), provides for the
payment of annuities to spouses of
railroad retirement annuitants who meet
the requirements under the RRA. The
age requirements for a spouse annuity
depend on the employee’s age, date of
retirement, and years of railroad service.
The requirements relating to the
annuities are prescribed in 20 CFR 216,
218, 219, 232, 234, and 295.
To collect the information needed to
help determine an applicant’s
entitlement to, and the amount of, a
spouse annuity the RRB uses non-OMB
Form AA–3, Application for Spouse/
Divorced Spouse Annuity, and
electronic OMB Forms AA–3cert,
Application Summary and Certification,
and AA–3sum, Application Summary.
The AA–3 application process gathers
information from an applicant about
their marital history, work history,
benefits from other government
agencies, and Medicare entitlement for
a spouse annuity. An RRB
representative interviews the applicant
either at a field office (preferred), an
itinerant point, or by telephone. During
the interview, the RRB representative
enters the information obtained into an
on-line information system. Upon
completion of the interview, the system
generates, for the applicant’s review,
either Form AA–3cert or AA–3sum,
which is a summary of the information
that the applicant provided or verified.
Form AA–3cert, Application Summary
and Certification, requires a traditional
pen and ink ‘‘wet’’ signature. Form AA–
3sum, Application Summary,
documents an alternate signing method
called ‘‘Attestation,’’ which is an action
taken by the RRB representative to
confirm and annotate in the RRB
records (1) the applicant’s intent to file
an application; (2) the applicant’s
affirmation under penalty of perjury that
the information provided is correct; and
(3) the applicant’s agreement to sign the
application by proxy. When the RRB
representative is unable to contact the
applicant in person or by telephone, for
example, the applicant lives in another
country, a manual version of Form AA–
3 is used. One response is requested of
each respondent. Completion of the
form is required to obtain a benefit.
Previous requests for comments: The
RRB has already published the initial
khammond on DSKBBV9HB2PROD with NOTICES
VerDate Sep<11>2014
17:52 Feb 27, 2019
Jkt 247001
PO 00000
20
19
300
665
250
20
45
55
188
18
200
15
45
65
150
16
3,485
........................
1,337
60-day notice (83 FR 66324 on
December 26, 2018) required by 44
U.S.C. 3506(c)(2). That request elicited
no comments.
Information Collection Request (ICR)
Title: Application for Spouse Annuity
Under the Railroad Retirement Act.
OMB control number: 3220–0042.
Form(s) submitted: AA–3cert and
AA–3sum.
Type of request: Extension without
change of a currently approved
collection.
Affected public: Individuals or
Households.
Abstract: The Railroad Retirement Act
provides for the payment of annuities to
spouses of railroad retirement
annuitants who meet the requirements
under the Act. The application obtains
information supporting the claim for
benefits based on being a spouse of an
annuitant. The information is used for
determining entitlement to and amount
of the annuity applied for.
Changes proposed: The RRB proposes
no changes to the forms in the
information collection.
The burden estimate for the ICR is as
follows:
Form AA–3cert (Ink Signature) ....................................................................................................
Form AA–3sum (Attestation) .......................................................................................................
Total ......................................................................................................................................
Frm 00077
Fmt 4703
Sfmt 4703
Burden
(hours)
900
2,100
Annual
responses
Form No.
Time
(minutes)
Time
(minutes)
Burden
(hours)
6,400
4,600
30
29
3,200
2,223
11,000
........................
5,423
E:\FR\FM\28FEN1.SGM
28FEN1
6842
Federal Register / Vol. 84, No. 40 / Thursday, February 28, 2019 / Notices
Additional information or comments:
Copies of the forms and supporting
documents can be obtained from 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 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 Foster,
Clearance Officer.
BILLING CODE 8011–01–P
SECURITIES AND EXCHANGE
COMMISSION
Self-Regulatory Organizations; Cboe
EDGX Exchange, Inc.; Notice of
Deemed Approval of a Proposed Rule
Change, as Modified by Amendments
No. 1 and 2, To Allow the Post Only
Order Instruction on Complex Orders
SECURITIES AND EXCHANGE
COMMISSION
[Release No. 34–85181; File No. SR–
CboeBZX–2018–066]
Self-Regulatory Organizations; Cboe
BZX Exchange, Inc.; Notice of Deemed
Approval of a Proposed Rule Change
To Permit the Listing and Trading of
P.M.-Settled Series on Certain BroadBased Index Options on a Pilot Basis
February 22, 2019.
On October 11, 2018, Cboe BZX
Exchange, Inc. filed with the Securities
and Exchange Commission
(‘‘Commission’’), pursuant to Section
19(b)(1) of the Securities Exchange Act
of 1934 (‘‘Act’’) 1 and Rule 19b–4
thereunder,2 a proposed rule change to
permit the listing and trading of P.M.settled series on certain broad-based
index options on a pilot basis.
The proposed rule change was
published for comment in the Federal
Register on October 30, 2018.3 On
December 13, 2018, pursuant to Section
19(b)(2) of the Act,4 the Commission
designated a longer period within which
to approve the proposed rule change,
disapprove the proposed rule change, or
institute proceedings to determine
whether to disapprove the proposed
rule change.5 The Commission received
no comment letters on the proposed rule
change.
As of January 28, 2019, pursuant to
Section 19(b)(2)(D) of the Act,6 the
1 15
U.S.C. 78s(b)(1).
CFR 240.19b–4.
3 See Securities Exchange Act Release No. 84480
(Oct. 24, 2018), 83 FR 54635.
4 15 U.S.C. 78s(b)(2).
5 See Securities Exchange Act Release No. 84816,
83 FR 65194 (Dec. 19, 2018). The Commission
designated January 28, 2019, as the date by which
it should approve, disapprove, or institute
proceedings to determine whether to disapprove the
proposed rule change.
6 15 U.S.C. 78s(b)(2)(D).
2 17
khammond on DSKBBV9HB2PROD with NOTICES
[FR Doc. 2019–03469 Filed 2–27–19; 8:45 am]
comment letters on the proposed rule
change.
As of January 14, 2019, pursuant to
Section 19(b)(2)(D) of the Act,8 the
proposed rule change (SR–CboeEDGX–
2018–043), as modified by Amendments
No. 1 and 2, was deemed to have been
approved by the Commission.
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.9
Eduardo A. Aleman,
Deputy Secretary.
[FR Doc. 2019–03471 Filed 2–27–19; 8:45 am]
BILLING CODE 8011–01–P
BILLING CODE 7905–01–P
17:52 Feb 27, 2019
For the Commission, by the Division of
Trading and Markets, pursuant to delegated
authority.7
Eduardo A. Aleman,
Deputy Secretary.
[Release No. 34–85180; File No. SR–
CboeEDGX–2018–043]
[FR Doc. 2019–03487 Filed 2–27–19; 8:45 am]
VerDate Sep<11>2014
proposed rule change (SR–CboeBZX–
2018–066) was deemed to have been
approved by the Commission.
Jkt 247001
February 22, 2019.
On October 1, 2018, Cboe EDGX
Exchange, Inc. (‘‘Exchange’’) filed with
the Securities and Exchange
Commission (‘‘Commission’’), pursuant
to Section 19(b)(1) of the Securities
Exchange Act of 1934 (‘‘Act’’) 1 and Rule
19b–4 thereunder,2 a proposed rule
change to allow the Post Only order
instruction on complex orders that route
to its electronic book.
The proposed rule change was
published for comment in the Federal
Register on October 16, 2018.3 On
November 21, 2018, the Exchange filed
Amendment No. 1 to the proposal.4 On
November 27, 2018, pursuant to Section
19(b)(2) of the Act,5 the Commission
designated a longer period within which
to approve the proposed rule change,
disapprove the proposed rule change, or
institute proceedings to determine
whether to disapprove the proposed
rule change, as modified by Amendment
No. 1.6 On December 14, 2018, the
Exchange filed Amendment No. 2 to the
proposal.7 The Commission received no
7 17
CFR 200.30–3(a)(12).
U.S.C. 78s(b)(1).
2 17 CFR 240.19b–4.
3 See Securities Exchange Act Release No. 84393
(October 10, 2018), 83 FR 52264.
4 The text of Amendment No. 1 is available at
https://www.sec.gov/comments/sr-cboeedgx-2018043/srcboeedgx2018043-4678696-176565.pdf.
5 15 U.S.C. 78s(b)(2).
6 See Securities Exchange Act Release No. 84663,
83 FR 62390 (Dec. 3, 2018). The Commission
designated January 14, 2019, as the date by which
it should approve, disapprove, or institute
proceedings to determine whether to disapprove the
proposed rule change.
7 The text of Amendment No. 2 is available at
https://www.sec.gov/comments/sr-cboeedgx-2018043/srcboeedgx2018043-4778850-176845.pdf.
1 15
PO 00000
Frm 00078
Fmt 4703
Sfmt 4703
SECURITIES AND EXCHANGE
COMMISSION
[Securities Exchange Act of 1934; Release
No. 34–85184/February 25, 2019]
Order Affirming Order by Delegated
Authority Temporarily Suspending and
Instituting Proceedings on SR–BOX–
2018–24 and Notice of Additional
Comment Period for the Proceedings
In the Matter of the BOX Exchange LLC
Regarding a Suspension of and Order
Instituting Proceedings To Determine
Whether To Approve or Disapprove a
Proposed Rule Change to Amend the Fee
Schedule on the BOX Market LLC Options
Facility to Establish BOX Connectivity Fees
for Participants and Non-Participants Who
Connect to the BOX Network (File No. SR–
BOX–2018–24)
I. Background
On July 19, 2018, BOX Exchange LLC
(f/k/a BOX Options Exchange LLC)
(‘‘BOX’’ or the ‘‘Exchange’’) filed with
the Securities and Exchange
Commission (‘‘Commission’’), pursuant
to Section 19(b)(1) of the Securities
Exchange Act (‘‘Act’’) 1 and Rule 19b–4
thereunder,2 a proposed rule change
(SR–BOX–2018–24) to amend the fee
schedule on the BOX Market LLC
options facility to establish certain
connectivity fees and reclassify its high
speed vendor feed connection as a port
fee. The proposed rule change was
published in the Federal Register on
August 2, 2018.3 The Commission
received one comment letter on the
proposal urging the Commission to
suspend the proposal and institute
proceedings.4 BOX submitted a
8 15
U.S.C. 78s(b)(2)(D).
CFR 200.30–3(a)(12).
1 15 U.S.C. 78s(b)(1).
2 17 CFR 240.19b–4.
3 See Securities Exchange Act Release No. 83728
(July 27, 2018), 83 FR 37853.
4 See letter to Brent J. Fields, Secretary,
Commission, from Tyler Gellasch, Executive
Director, The Healthy Markets Association, dated
August 23, 2018.
9 17
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28FEN1
]]>Agencies
[Federal Register Volume 84, Number 40 (Thursday, February 28, 2019)]
[Notices]
[Pages 6840-6842]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-03487]
=======================================================================
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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
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: Application for
Survivor Insurance Annuities; OMB 3220-0030.
Under Section 2(d) of the Railroad Retirement Act (RRA), monthly
survivor annuities are payable to surviving widow(er)s, parents,
unmarried children, and in certain cases, divorced spouses, mothers
(fathers), remarried widow(er)s, and grandchildren of deceased railroad
employees if there are no qualified survivors of the employee
immediately eligible for an annuity. The requirements relating to the
annuities are prescribed in 20 CFR 216, 217, 218, and 219.
To collect the information needed to help determine an applicant's
entitlement to, and the amount of, a survivor annuity the RRB uses
Forms AA-17, Application for Widow(er)'s Annuity; AA-17b, Applications
for Determination of Widow(er)'s Disability; AA-18, Application for
Mother's/Father's and Child's Annuity; AA-19, Application for Child's
Annuity; AA-19a, Application for Determination of Child's Disability;
AA-20, Application for Parent's Annuity, and electronic Forms AA-
17cert, Application Summary and Certification and AA-17sum, Application
Summary.
The on-line automated survivor annuity application (Forms AA-17,
AA-18, AA-19, and AA-20) process obtains information about an
applicant's marital history, work history, benefits from other
government agencies, and Medicare entitlement for a survivor annuity.
An RRB representative interviews the applicant either at a field office
(preferred), an itinerant point, or by telephone. During the interview,
the RRB representative enters the information obtained into an on-line
information system. Upon completion of the interview, the system
generates, for the applicant's review, either Form AA-17cert or AA-
17sum, which provides a summary of the information that the applicant
provided or verified. Form AA-17cert, Application Summary and
Certification, requires a tradition pen and ink ``wet'' signature. Form
AA-17sum, Application Summary, documents the alternate signing method
called ``Attestation,'' which is an action taken by the RRB
representative to confirm and annotate in the RRB records (1) the
applicant's intent to file an application; (2) the applicant's
affirmation under penalty of perjury that the information provided is
correct; and (3) the applicant's agreement to sign the application by
proxy. When the RRB representative is unable to contact the applicant
in person or by telephone, for example, the applicant lives in another
country, a manual version of the appropriate form is used. One response
is requested of each respondent. Completion of the forms is required to
obtain a benefit.
Previous requests for comments: The RRB has already published the
initial 60-day notice (83 FR 66323 on December 26, 2018) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Application for Survivor Insurance Annuities.
OMB control number: 3220-0030.
Form(s) submitted: AA-17b, AA-17cert, AA-17sum, and AA-19a.
Type of request: Revision of a currently approved collection.
Affected public: Individuals or Households.
Abstract: Under Section 2(d) of the Railroad Retirement Act,
monthly survivor annuities are payable to surviving widow(er)s,
parents, unmarried children, and in certain cases, divorced wives
(husbands), mothers (fathers), remarried widow(er)s and grandchildren
of deceased railroad employees. The collection obtains information
needed by the RRB to determine entitlement to and the amount of the
annuity applied for.
Changes proposed: The RRB proposes significant changes to Form AA-
17b in support of the RRB's Disability Program Improvement Plan (DPIP)
to enhance and improve disability case processing and overall program
integrity as recommended by the RRB's Office of Inspector General and
the Government Accountability Office. Proposed changes to Form AA-17b
include the addition of questions regarding the applicant's attempt to
go back to work; education and training; additional scheduled medical
care; daily activities, including any social and recreational
activities and volunteer work; and possible use of a facilitator or
attorney to either complete or aid in the completion of the
application. Clarification of existing items and other non-burden
impacting editorial and formatting changes to make the AA-17b
consistent with other DPIP forms enhancements are also being proposed.
The burden estimate for the ICR is as follows:
[[Page 6841]]
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
AA-17 Application Process:
AA-17cert................................................... 900 20 300
AA-17sum.................................................... 2,100 19 665
AA-17b:
(With assistance)........................................... 250 45 188
(Without assistance)........................................ 20 55 18
AA-19a:
(With assistance)........................................... 200 45 150
(Without assistance)........................................ 15 65 16
rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr
Total................................................... 3,485 .............. 1,337
----------------------------------------------------------------------------------------------------------------
2. Title and purpose of information collection: Application for
Spouse Annuity Under the Railroad Retirement Act; OMB 3220-0042.
Section 2(c) of the Railroad Retirement Act (RRA), provides for the
payment of annuities to spouses of railroad retirement annuitants who
meet the requirements under the RRA. The age requirements for a spouse
annuity depend on the employee's age, date of retirement, and years of
railroad service. The requirements relating to the annuities are
prescribed in 20 CFR 216, 218, 219, 232, 234, and 295.
To collect the information needed to help determine an applicant's
entitlement to, and the amount of, a spouse annuity the RRB uses non-
OMB Form AA-3, Application for Spouse/Divorced Spouse Annuity, and
electronic OMB Forms AA-3cert, Application Summary and Certification,
and AA-3sum, Application Summary.
The AA-3 application process gathers information from an applicant
about their marital history, work history, benefits from other
government agencies, and Medicare entitlement for a spouse annuity. An
RRB representative interviews the applicant either at a field office
(preferred), an itinerant point, or by telephone. During the interview,
the RRB representative enters the information obtained into an on-line
information system. Upon completion of the interview, the system
generates, for the applicant's review, either Form AA-3cert or AA-3sum,
which is a summary of the information that the applicant provided or
verified. Form AA-3cert, Application Summary and Certification,
requires a traditional pen and ink ``wet'' signature. Form AA-3sum,
Application Summary, documents an alternate signing method called
``Attestation,'' which is an action taken by the RRB representative to
confirm and annotate in the RRB records (1) the applicant's intent to
file an application; (2) the applicant's affirmation under penalty of
perjury that the information provided is correct; and (3) the
applicant's agreement to sign the application by proxy. When the RRB
representative is unable to contact the applicant in person or by
telephone, for example, the applicant lives in another country, a
manual version of Form AA-3 is used. One response is requested of each
respondent. Completion of the form is required to obtain a benefit.
Previous requests for comments: The RRB has already published the
initial 60-day notice (83 FR 66324 on December 26, 2018) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Application for Spouse Annuity Under the Railroad Retirement
Act.
OMB control number: 3220-0042.
Form(s) submitted: AA-3cert and AA-3sum.
Type of request: Extension without change of a currently approved
collection.
Affected public: Individuals or Households.
Abstract: The Railroad Retirement Act provides for the payment of
annuities to spouses of railroad retirement annuitants who meet the
requirements under the Act. The application obtains information
supporting the claim for benefits based on being a spouse of an
annuitant. The information is used for determining entitlement to and
amount of the annuity applied for.
Changes proposed: The RRB proposes no changes to the forms in the
information collection.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
Form AA-3cert (Ink Signature)................................... 6,400 30 3,200
Form AA-3sum (Attestation)...................................... 4,600 29 2,223
-----------------------------------------------
Total....................................................... 11,000 .............. 5,423
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[[Page 6842]]
Additional information or comments: Copies of the forms and
supporting documents can be obtained from 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 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 Foster,
Clearance Officer.
[FR Doc. 2019-03487 Filed 2-27-19; 8:45 am]
BILLING CODE 7905-01-P
