Agency Forms Submitted for OMB Review, Request for Comments, 79536-79539 [2020-27099]
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79536
Federal Register / Vol. 85, No. 238 / Thursday, December 10, 2020 / Notices
The
United States Postal Service® hereby
gives notice that, pursuant to 39 U.S.C.
3642 and 3632(b)(3), on November 27,
2020, it filed with the Postal Regulatory
Commission a USPS Request to Add
Parcel Select Contract 40 to Competitive
Product List. Documents are available at
www.prc.gov, Docket Nos. MC2021–33,
CP2021–34.
SUPPLEMENTARY INFORMATION:
Sean Robinson,
Attorney, Corporate and Postal Business Law.
FOR FURTHER INFORMATION CONTACT:
Sean Robinson, 202–268–8405.
SUPPLEMENTARY INFORMATION: The
United States Postal Service® hereby
gives notice that, pursuant to 39 U.S.C.
3642 and 3632(b)(3), on November 23,
2020, it filed with the Postal Regulatory
Commission a USPS Request to Add
Priority Mail Contract 681 to
Competitive Product List. Documents
are available at www.prc.gov, Docket
Nos. MC2021–30, CP2021–31.
Sean Robinson,
Attorney, Corporate and Postal Business Law.
[FR Doc. 2020–27074 Filed 12–9–20; 8:45 am]
BILLING CODE 7710–12–P
[FR Doc. 2020–27071 Filed 12–9–20; 8:45 am]
BILLING CODE 7710–12–P
POSTAL SERVICE
Product Change—Parcel Select
Negotiated Service Agreement
RAILROAD RETIREMENT BOARD
Postal ServiceTM.
ACTION: Notice.
Agency Forms Submitted for OMB
Review, Request for Comments
The Postal Service gives
notice of filing a request with the Postal
Regulatory Commission to add a
domestic shipping services contract to
the list of Negotiated Service
Agreements in the Mail Classification
Schedule’s Competitive Products List.
DATES: Date of required notice:
December 10, 2020.
FOR FURTHER INFORMATION CONTACT:
Sean Robinson, 202–268–8405.
SUPPLEMENTARY INFORMATION: The
United States Postal Service® hereby
gives notice that, pursuant to 39 U.S.C.
3642 and 3632(b)(3), on November 27,
2020, it filed with the Postal Regulatory
Commission a USPS Request to Add
Parcel Select Contract 38 to Competitive
Product List. Documents are available at
www.prc.gov, Docket Nos. MC2021–31,
CP2021–32.
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 Employee
Annuity Under the Railroad Retirement
Ac; OMB 3220–0002.
Section 2(a) of the Railroad
Retirement Act (RRA) (45 U.S.C. 231a)
provides for payments of age and
service, disability, and supplemental
annuities to qualified employees. An
annuity cannot be paid until the
employee stops working for a railroad
employer. In addition, the age and
service employee must relinquish any
rights held to such jobs. A disabled
employee does not need to relinquish
AGENCY:
SUMMARY:
Sean Robinson,
Attorney, Corporate and Postal Business Law.
[FR Doc. 2020–27072 Filed 12–9–20; 8:45 am]
BILLING CODE 7710–12–P
POSTAL SERVICE
Product Change—Priority Mail
Negotiated Service Agreement
Postal ServiceTM.
ACTION: Notice.
AGENCY:
The Postal Service gives
notice of filing a request with the Postal
Regulatory Commission to add a
domestic shipping services contract to
the list of Negotiated Service
Agreements in the Mail Classification
Schedule’s Competitive Products List.
DATES: Date of required notice:
December 10, 2020.
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SUMMARY:
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employee rights until attaining Full
Retirement Age, or if earlier, when their
spouse is awarded a spouse annuity.
Benefits become payable after the
employee meets certain other
requirements, which depend on the type
of annuity payable. The requirements
for obtaining the annuities are
prescribed in 20 CFR 216 and 220.
To collect the information needed to
help determine an applicant’s
entitlement to, and the amount of, an
employee retirement annuity the RRB
uses Forms AA–1, Application for
Employee Annuity; AA–1d, Application
for Determination of Employee
Disability; G–204, Verification of
Workers Compensation/Public Disability
Benefit Information, and electronic
Forms AA–1cert, Application Summary
and Certification, and AA–1sum,
Application Summary.
The AA–1 application process obtains
information from an applicant about
their marital history, work history,
military service, benefits from other
governmental agencies, railroad
pensions and Medicare entitlement for
either an age and service or disability
annuity. An RRB representative
interviews the applicant either at a field
office, 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 on-line information
system generates Form AA–1cert,
Application Summary and Certification,
or Form AA–1sum, Application
Summary, a summary of the information
that was provided for the applicant to
review and approve. Form AA–1cert
documents approval using the
traditional pen and ink ‘‘wet’’ signature,
and Form AA–1sum documents
approval using the alternative signature
method called Attestation. 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–1 is used.
Form AA–1d, Application for
Determination of Employee’s Disability,
is completed by an employee who is
filing for a disability annuity under the
RRA, or a disability freeze under the
Social Security Act, for early Medicare
based on a disability. Form G–204,
Verification of Worker’s Compensation/
Public Disability Benefit Information, is
used to obtain and verify information
concerning a worker’s compensation or
a public disability benefit that is or will
be paid by a public agency to a disabled
railroad employee.
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Federal Register / Vol. 85, No. 238 / Thursday, December 10, 2020 / Notices
One response is requested of each
respondent. Completion of the forms is
required to obtain/retain a benefit.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (85 FR 62775 on October
5, 2020) required by 44 U.S.C.
3506(c)(2). That request elicited no
comments.
Information Collection Request (ICR)
Title: Application for Employee
Annuity Under the Railroad Retirement
Act.
OMB Control Number: 3220–0002.
Form(s) submitted: AA–1, AA–1cert,
AA–1d, AA–1sum and G–204.
Type of request: Revision of a
currently approved collection.
Affected public: Individuals or
Households.
Abstract: The Railroad Retirement Act
provides for payment of age, disability
and supplemental annuities to qualified
employees. The application and related
forms obtain information about the
applicant’s family work history, military
service, disability benefits from other
government agencies and public or
private pensions. The information is
used to determine entitlement to and
the amount of the annuity applied for.
Changes proposed: The RRB proposes
no changes to Form AA–1 and Form
AA–1 (internet). The RRB propose a
minor editorial change to Form AA–1d
to change the date under Section 1
‘‘General Instructions’’. The RRB
propose the following change to Form
G–204: Update the title in the
Paperwork Reduction Act and Privacy
Act Notices to Associate Chief
Information Officer for Policy and
Compliance.
The burden estimate for the ICR is as
follows:
Annual
responses
Form No.
Burden
(hours)
AA–1 (without assistance) ...........................................................................................................
AA–1cert (with assistance) ..........................................................................................................
AA–1sum (with assistance) .........................................................................................................
AA–1 (Internet) (without assistance) ...........................................................................................
AA–1d (with assistance) ..............................................................................................................
AA–1d (without assistance) .........................................................................................................
G–204 ..........................................................................................................................................
35
7,050
2,415
3,220
2,600
5
20
62
30
29
45
60
85
15
36
3,525
1,166
2,415
2,600
7
5
Total ......................................................................................................................................
15,345
........................
9,754
2. 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) (45 U.S.C. 231a),
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 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 NonRailroad 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 (85 FR 62776 on October
5, 2020) 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
responses
Form No.
G–88 ............................................................................................................................................
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Time
(minutes)
3. 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)
(45 U.S.C. 355), 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
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17:36 Dec 09, 2020
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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
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3,600
Time
(minutes)
Burden
(hours)
6
360
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.
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Federal Register / Vol. 85, No. 238 / Thursday, December 10, 2020 / Notices
Completion is required to obtain
benefits.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (85 FR 62777 on October
5, 2020) 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
responses
Form No.
SI–10 ............................................................................................................................................
4. 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 noncovered 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 noncovered 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 (45 U.S.C.
231b) 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
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.
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30
Burden
(hours)
6
3
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (85 FR 62777 on October
5, 2020) 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
responses
Form No.
Time
(minutes)
Time
(minutes)
Burden
(hours)
G–209 (Partial Questionnaire) .....................................................................................................
G–209 (Full Questionnaire) .........................................................................................................
50
100
1
8
1
13
Total ......................................................................................................................................
150
........................
14
Additional Information or Comments:
Copies of the forms and supporting
documents can be obtained from
Kennisha Tucker at (312) 469–2591 or
Kennisha.Tucker@rrb.gov. Comments
regarding the information collection
should be addressed to Brian Foster,
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17:36 Dec 09, 2020
Jkt 253001
Railroad Retirement Board, 844 North
Rush Street, Chicago, Illinois 60611–
1275 or Brian.Foster@rrb.gov.
Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
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notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
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Federal Register / Vol. 85, No. 238 / Thursday, December 10, 2020 / Notices
places specified in Item IV below. The
Exchange has prepared summaries, set
forth in sections A, B, and C below, of
the most significant aspects of such
statements.
for Public Comments’’ or by using the
search function.
Brian Foster,
Clearance Officer.
[FR Doc. 2020–27099 Filed 12–9–20; 8:45 am]
A. Self-Regulatory Organization’s
Statement of the Purpose of, and
Statutory Basis for, the Proposed Rule
Change
BILLING CODE 7905–01–P
SECURITIES AND EXCHANGE
COMMISSION
[Release No. 34–90567; File No. SRCboeBYX–2020–033]
Self-Regulatory Organizations; Cboe
BYX Exchange, Inc.; Notice of Filing
and Immediate Effectiveness of
Proposed Rule Change To Amend its
Fee Schedule To Remove Unused
Routing-related Fee Codes
December 4, 2020.
Pursuant to Section 19(b)(1) of the
Securities Exchange Act of 1934 (the
‘‘Act’’) 1 and Rule 19b–4 thereunder,2
notice is hereby given that on December
1, 2020, Cboe BYX Exchange, Inc. (the
‘‘Exchange’’ or ‘‘BYX’’) filed with the
Securities and Exchange Commission
(the ‘‘Commission’’) the proposed rule
change as described in Items I, II, and
III below, which Items have been
prepared by the Exchange. The
Commission is publishing this notice to
solicit comments on the proposed rule
change from interested persons.
I. Self-Regulatory Organization’s
Statement of the Terms of the Substance
of the Proposed Rule Change
Cboe BYX Exchange, Inc. (the
‘‘Exchange’’ or ‘‘BZX’’) is filing with the
Securities and Exchange Commission
(‘‘Commission’’) a proposed rule change
to amend the fee schedule. The text of
the proposed rule change is provided in
Exhibit 5.
The text of the proposed rule change
is also available on the Exchange’s
website (https://markets.cboe.com/us/
equities/regulation/rule_filings/byx/), at
the Exchange’s Office of the Secretary,
and at the Commission’s Public
Reference Room.
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II. Self-Regulatory Organization’s
Statement of the Purpose of, and
Statutory Basis for, the Proposed Rule
Change
In its filing with the Commission, the
Exchange included statements
concerning the purpose of and basis for
the proposed rule change and discussed
any comments it received on the
proposed rule change. The text of these
statements may be examined at the
1 15
2 17
U.S.C. 78s(b)(1).
CFR 240.19b–4.
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17:36 Dec 09, 2020
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1. Purpose
The Exchange proposes to amend its
fee schedule to remove unused routingrelated fee codes, effective December 1,
2020.
The Exchange first notes that it
operates in a highly-competitive market
in which market participants can
readily direct order flow to competing
venues if they deem fee levels at a
particular venue to be excessive or
incentives to be insufficient. More
specifically, the Exchange is only one of
16 registered equities exchanges, as well
as a number of alternative trading
systems and other off-exchange venues
that do not have similar self-regulatory
responsibilities under the Exchange Act,
to which market participants may direct
their order flow. Based on publicly
available information,3 no single
registered equities exchange has more
than 16% of the market share. Thus, in
such a low-concentrated and highly
competitive market, no single equities
exchange possesses significant pricing
power in the execution of order flow.
The Exchange in particular operates a
‘‘Taker-Maker’’ model whereby it pays
credits to members that remove
liquidity and assesses fees to those that
add liquidity. The Exchange’s Fees
Schedule sets forth the standard rebates
and rates applied per share for orders
that provide and remove liquidity,
respectively. Particularly, for securities
at or above $1.00, the Exchange
provides a standard rebate of $0.00050
per share for orders that remove
liquidity, assesses a fee of $0.00200 per
share for orders that add liquidity and
assesses a standard fee of $0.00300 for
orders that are routed. For orders priced
below $1.00, the Exchange does not
assess a fee or provide a rebate for
orders that add liquidity, assesses a fee
of 0.10% of total dollar value for orders
that remove liquidity, and assesses a fee
of 0.29% of total dollar value for orders
that are routed. The Exchange believes
that the ever-shifting market share
among the exchanges from month to
month demonstrates that market
participants can shift order flow or
3 See Cboe Global Markets, U.S. Equities Market
Volume Summary, Month-to-Date (November 27,
2020), available at https://markets.cboe.com/us/
equities/market_statistics/.
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79539
discontinue to reduce use of certain
categories of products, in response to fee
changes. Accordingly, competitive
forces constrain the Exchange’s
transaction fees, and market participants
can readily trade on competing venues
if they deem pricing levels at those
other venues to be more favorable.
The Exchange assesses fees in
connection with orders routed away to
various exchanges. The Exchange
proposes to eliminate several routingrelated fee codes that have been unused
for several years. Particularly, the
Exchange proposes to eliminate the
following fee codes:
• Fee Code 9, which is appended to
orders routed to NYSE Arca and adds
liquidity (Tapes A or C) and provides a
rebate of $0.00210 per share for
securities priced at or above $1.00 and
are free for securities priced below
$1.00;
• Fee Code NB, which is appended to
orders routed to any exchange not
covered by Fee Code NA and adds nondisplayed liquidity and assesses a fee of
$0.00300 per share for securities priced
at or above $1.00 and a fee of 0.30% of
dollar value for securities priced below
$1.00;
• Fee Code R, which is appended to
orders re-routed by NYSE using RDOT,
RDOX or Post to Away routing strategy
and assesses a fee of 0.00300 per share;
• Fee Code RA, which is appended to
orders re-routed to EDGA and adds
liquidity and assess a fee of 0.00300 per
share for securities priced at or above
$1.00 and are free for securities priced
below $1.00; and
• Fee Code RB, which is appended to
orders routed to Nasdaq BX and adds
liquidity and assess a fee of 0.00200 per
share for securities priced at or above
$1.00 and are free for securities priced
below $1.00.
As noted, above the Exchange has
observed no volume in recent years in
orders yielding fee codes 9, NB, R, RA
and RB. The Exchange believes that,
because no Members elect to route their
orders that yield these fee codes, the
current demand (or lack thereof) does
not warrant the infrastructure and
ongoing Systems maintenance required
to support separate fee codes
specifically applicable to these types of
transactions. Therefore, the Exchange
now proposes to delete fee codes 9, NB,
R, RA and RB in the Fee Schedule. The
Exchange notes that Members will
continue to be able to choose to route
their orders to any exchange covered by
these fee codes and such orders will be
automatically and uniformly assessed
the current fees (or rebates) in place for
routed orders, as applicable (e.g., the
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Agencies
[Federal Register Volume 85, Number 238 (Thursday, December 10, 2020)]
[Notices]
[Pages 79536-79539]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-27099]
=======================================================================
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RAILROAD RETIREMENT BOARD
Agency Forms Submitted for OMB Review, Request for Comments
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
Employee Annuity Under the Railroad Retirement Ac; OMB 3220-0002.
Section 2(a) of the Railroad Retirement Act (RRA) (45 U.S.C. 231a)
provides for payments of age and service, disability, and supplemental
annuities to qualified employees. An annuity cannot be paid until the
employee stops working for a railroad employer. In addition, the age
and service employee must relinquish any rights held to such jobs. A
disabled employee does not need to relinquish employee rights until
attaining Full Retirement Age, or if earlier, when their spouse is
awarded a spouse annuity. Benefits become payable after the employee
meets certain other requirements, which depend on the type of annuity
payable. The requirements for obtaining the annuities are prescribed in
20 CFR 216 and 220.
To collect the information needed to help determine an applicant's
entitlement to, and the amount of, an employee retirement annuity the
RRB uses Forms AA-1, Application for Employee Annuity; AA-1d,
Application for Determination of Employee Disability; G-204,
Verification of Workers Compensation/Public Disability Benefit
Information, and electronic Forms AA-1cert, Application Summary and
Certification, and AA-1sum, Application Summary.
The AA-1 application process obtains information from an applicant
about their marital history, work history, military service, benefits
from other governmental agencies, railroad pensions and Medicare
entitlement for either an age and service or disability annuity. An RRB
representative interviews the applicant either at a field office, 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 on-line
information system generates Form AA-1cert, Application Summary and
Certification, or Form AA-1sum, Application Summary, a summary of the
information that was provided for the applicant to review and approve.
Form AA-1cert documents approval using the traditional pen and ink
``wet'' signature, and Form AA-1sum documents approval using the
alternative signature method called Attestation. 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-1 is used.
Form AA-1d, Application for Determination of Employee's Disability,
is completed by an employee who is filing for a disability annuity
under the RRA, or a disability freeze under the Social Security Act,
for early Medicare based on a disability. Form G-204, Verification of
Worker's Compensation/Public Disability Benefit Information, is used to
obtain and verify information concerning a worker's compensation or a
public disability benefit that is or will be paid by a public agency to
a disabled railroad employee.
[[Page 79537]]
One response is requested of each respondent. Completion of the
forms is required to obtain/retain a benefit.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (85 FR 62775 on October 5, 2020) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Application for Employee Annuity Under the Railroad
Retirement Act.
OMB Control Number: 3220-0002.
Form(s) submitted: AA-1, AA-1cert, AA-1d, AA-1sum and G-204.
Type of request: Revision of a currently approved collection.
Affected public: Individuals or Households.
Abstract: The Railroad Retirement Act provides for payment of age,
disability and supplemental annuities to qualified employees. The
application and related forms obtain information about the applicant's
family work history, military service, disability benefits from other
government agencies and public or private pensions. The information is
used to determine entitlement to and the amount of the annuity applied
for.
Changes proposed: The RRB proposes no changes to Form AA-1 and Form
AA-1 (internet). The RRB propose a minor editorial change to Form AA-1d
to change the date under Section 1 ``General Instructions''. The RRB
propose the following change to Form G-204: Update the title in the
Paperwork Reduction Act and Privacy Act Notices to Associate Chief
Information Officer for Policy and Compliance.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual Time Burden
Form No. responses (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
AA-1 (without assistance)....................................... 35 62 36
AA-1cert (with assistance)...................................... 7,050 30 3,525
AA-1sum (with assistance)....................................... 2,415 29 1,166
AA-1 (Internet) (without assistance)............................ 3,220 45 2,415
AA-1d (with assistance)......................................... 2,600 60 2,600
AA-1d (without assistance)...................................... 5 85 7
G-204........................................................... 20 15 5
-----------------------------------------------
Total....................................................... 15,345 .............. 9,754
----------------------------------------------------------------------------------------------------------------
2. 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) (45
U.S.C. 231a), 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 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 (85 FR 62776 on October 5, 2020) 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 Time Burden
Form No. responses (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
G-88............................................................ 3,600 6 360
----------------------------------------------------------------------------------------------------------------
3. 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) (45 U.S.C. 355), 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.
[[Page 79538]]
Completion is required to obtain benefits.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (85 FR 62777 on October 5, 2020) 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 Time Burden
Form No. responses (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SI-10........................................................... 30 6 3
----------------------------------------------------------------------------------------------------------------
4. 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 (45 U.S.C. 231b) 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
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 (85 FR 62777 on October 5, 2020) 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 Time Burden
Form No. responses (minutes) (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 Kennisha Tucker at (312) 469-
2591 or [email protected]. Comments regarding the information
collection should be addressed to Brian Foster, Railroad Retirement
Board, 844 North Rush Street, Chicago, Illinois 60611-1275 or
[email protected].
Written comments and recommendations for the proposed information
collection should be sent within 30 days of publication of this notice
to www.reginfo.gov/public/do/PRAMain. Find this particular information
collection by selecting ``Currently under 30-day Review--Open
[[Page 79539]]
for Public Comments'' or by using the search function.
Brian Foster,
Clearance Officer.
[FR Doc. 2020-27099 Filed 12-9-20; 8:45 am]
BILLING CODE 7905-01-P