Agency Forms Submitted for OMB Review, Request for Comments, 34061-34064 [2021-13666]
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Federal Register / Vol. 86, No. 121 / Monday, June 28, 2021 / Notices
Application for Refund of Retirement
Deductions, SF 3106 and Current/
Former Spouse(s) Notification of
Application for Refund of Retirement
Deductions under FERS, SF 3106A.
DATES: Comments are encouraged and
will be accepted until July 28, 2021.
ADDRESSES: Interested persons are
invited to submit written comments on
the proposed information collection to
the Office of Information and Regulatory
Affairs, Office of Management and
Budget, 725 17th Street NW,
Washington, DC 20503, Attention: Desk
Officer for the Office of Personnel
Management or sent via electronic mail
to: oira_submission@omb.eop.gov or
faxed to (202) 395–6974.
FOR FURTHER INFORMATION CONTACT: A
copy of this ICR with applicable
supporting documentation, may be
obtained by contacting the Retirement
Services Publications Team, Office of
Personnel Management, 1900 E Street
NW, Room 3316–L, Washington, DC
20415, Attention: Cyrus S. Benson, or
sent via electronic mail to
Cyrus.Benson@opm.gov or faxed to
(202) 606–0910 or via telephone at (202)
606–4808.
SUPPLEMENTARY INFORMATION: As
required by the Paperwork Reduction
Act of 1995 OPM is soliciting comments
for this collection. The information
collection (OMB No. 3206–0170) was
previously published in the Federal
Register on December 30, 2020 at 85 FR
86583, allowing for a 60-day public
comment period. One comment was
received. Our response is as follows:
‘‘This is written in response to the
comment on Federal Register
Document #2020–28900 regarding the
Application for Refund of Retirement
Deductions, Standard Form (SF)–3106
and Current/Former Spouse(s)
Notification of Application for Refund
of Retirement Deductions Under FERS,
SF–3106A.
The Standard Form 3106 is used by
former Federal employees under the
Federal Employees Retirement System
(FERS) to apply for a refund of
retirement deductions withheld during
Federal employment, plus any interest
provided by law. Standard Form 3106A,
Current/Former Spouse(s) Notification
of Application for Refund of Retirement
Deductions under FERS, is used by
refund applicants to notify their
current/former spouse(s) that they are
applying for a refund of retirement
deductions, which is required by law.
The Office of Personnel Management
finds that the comments received are
not relevant to the use of these forms.
The Uniformed Services Employment
and Reemployment Rights Act of 1994
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(USERRA) covers certain Federal
employees in the armed forces, the
reserves, the National Guard and
commissioned corps of the Public
Health Service. The USERRA law allows
for restoration to the position he or she
would have attained had the employee
not entered the uniformed service
provided certain conditions are met.
Since enactment of the law, OPM has
provided guidance to agencies on
processing service credit deposits for
such cases.
It appears that the comments are case
specific to the processing of service
credit deposits. If denied the
opportunity to make the service credit
deposit, the individual would have
received a denial decision and provided
information on his/her right to file a
request for reconsideration.’’
The Office of Management and Budget
is particularly interested in comments
that:
1. Evaluate whether the proposed
collection of information is necessary
for the proper performance of functions
of the agency, including whether the
information will have practical utility;
2. Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and
clarity of the information to be
collected; and
4. Minimize the burden of the
collection of information on those who
are to respond, including through the
use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submissions
of responses.
Standard Form 3106, Application for
Refund of Retirement Deductions under
FERS is used by former Federal
employees under FERS, to apply for a
refund of retirement deductions
withheld during Federal employment,
plus any interest provided by law.
Standard Form 3106A, Current/Former
Spouse(s) Notification of Application
for Refund of Retirement Deductions
under FERS, is used by refund
applicants to notify their current/former
spouse(s) that they are applying for a
refund of retirement deductions, which
is required by law.
Analysis
Agency: Retirement Operations,
Retirement Services, Office of Personnel
Management.
Title: Application for Refund of
Retirement Deductions under FERS.
OMB Number: 3206–0170.
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34061
Frequency: On occasion.
Affected Public: Individuals or
Households.
Number of Respondents: SF 3106 =
8,000; SF 3106A = 6,400.
Estimated Time per Respondent: SF
3106 = 30 minutes; SF 3106A = 5
minutes.
Total Burden Hours: 4,533 hours.
Office of Personnel Management.
Alexys Stanley,
Regulatory Affairs Analyst.
[FR Doc. 2021–13662 Filed 6–25–21; 8:45 am]
BILLING CODE 6325–38–P
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: Claimant Appeal Under the
Railroad Retirement Act or and Railroad
Unemployment Insurance Act; OMB
3220–0007.
Under Section 7(b)(3) of the Railroad
Retirement Act (RRA) (45 U.S.C. 231f),
and Section 5(c) of the Railroad
Unemployment Insurance Act (RUIA)
(45 U.S.C. 355) any person aggrieved by
a decision made by an office of the RRB
on his or her application for an annuity
or benefit under those Acts has the right
to appeal to the RRB. This right is
prescribed in 20 CFR 260 and 20 CFR
320. The notification letter, which is
provided at the time of filing the
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original application, informs the
applicant of such right. When an
applicant protests a decision, the
concerned RRB office reviews the entire
file and any additional evidence
submitted and sends the applicant a
letter explaining the basis of the
determination. The applicant is then
notified that to protest further, they can
appeal to the RRB’s Bureau of Hearings
and Appeals. The appeal process is
prescribed in 20 CFR 260.5 and 260.9
and 20 CFR 320.12 and 320.38.
To file a request for an appeal the
applicant must complete Form HA–1,
Appeal Under the Railroad Retirement
Act or Railroad Unemployment
Insurance Act. The form asks the
applicant to explain the basis for their
Information Collection Request (ICR)
Title: Claimant Appeal Under the
Railroad Retirement Act or Railroad
Unemployment Insurance Act.
OMB Control Number: 3220–0007.
Form(s) submitted: HA–1.
Type of request: Revision of a
currently approved collection.
Affected public: Individuals or
Households.
Abstract: Under Section 7(b)(3) of the
Railroad Retirement Act and Section
5(c) of the Railroad Unemployment
Insurance Act, a person aggrieved by a
decision on his or her application for an
annuity or other benefit has the right to
appeal to the RRB. The collection
provides the means for the appeal
action.
Changes proposed: The RRB proposes
minor changes to Form HA–1 to the
reference citation and minor grammar
on page 2.
The burden estimate for the ICR is as
follows:
Form No.
Annual
responses
Time
(minutes)
Burden
(hours)
HA–1 ............................................................................................................................................
550
20
183
2. Title and purpose of information
collection: Application for Benefits Due
But Unpaid at Death; OMB 3220–0055.
Under Section 2(g) of the Railroad
Unemployment Insurance Act (45
U.S.C. 352), benefits that accrued but
were not paid because of the death of
the employee shall be paid to the same
individual(s) to whom benefits are
payable under Section 6(a)(1) of the
Railroad Retirement Act. The provisions
relating to the payment of such benefits
are prescribed in 20 CFR 325.5 and 20
CFR 335.5.
The RRB provides Form UI–63,
Application for Benefits Due But
Unpaid at Death, to those applying for
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request for an appeal and, if necessary,
to describe any additional evidence they
wish to submit in support of the appeal.
Completion is voluntary, however, if the
information is not provided the RRB
cannot process the appeal.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (86 FR 21361 on April 22,
2021) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
the accrued sickness or unemployment
benefits unpaid at the death of the
employee and for obtaining the
information needed to identify the
proper payee. One response is requested
of each respondent. Completion is
required to obtain a benefit.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (86 FR 21361 on April 22,
2021) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
Information Collection Request (ICR)
Title: Application for Benefits Due but
Unpaid at Death.
OMB Control Number: 3220–0055.
Form(s) submitted: UI–63.
Type of request: Extension without
change of a currently approved
collection.
Affected public: Individuals or
Households.
Abstract: The collection obtains the
information needed by the Railroad
Retirement Board to pay benefits
accrued under section 2(g) of the
Railroad Unemployment Insurance Act,
but not paid because of the death of the
employee.
Changes proposed: The RRB proposes
no changes to Form UI–63.
The burden estimate for the ICR is as
follows:
Form No.
Annual
responses
Time
(minutes)
Burden
(hours)
UI–63 ...........................................................................................................................................
24
7
3
3. Title and purpose of information
collection: Medicare; OMB 3220–0082.
Under Section 7(d) of the Railroad
Retirement Act (RRA) (45 U.S.C. 231f),
the Railroad Retirement Board (RRB)
administers the Medicare program for
persons covered by the railroad
retirement system. The RRB uses Form
AA–6, Employee Application for
Medicare; Form AA–7, Spouse/Divorced
Spouse Application for Medicare; and
Form AA–8, Widow/Widower
Application for Medicare; to obtain the
information needed to determine
whether individuals who have not yet
filed for benefits under the RRA are
qualified for Medicare payments
provided under Title XVIII of the Social
Security Act.
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Further, in order to determine if a
qualified railroad retirement beneficiary
who is claiming supplementary medical
insurance coverage under Medicare is
entitled to a Special Enrollment Period
(SEP) and/or premium surcharge relief
because of coverage under an Employer
Group Health Plan (EGHP), the RRB
needs to obtain information regarding
the claimant’s EGHP coverage, if any.
The RRB uses Form RL–311–F,
Evidence of Coverage Under An
Employer Group Health Plan, to obtain
the basic information needed to
establish EGHP coverage for a qualified
railroad retirement beneficiary.
Completion of the forms is required to
obtain a benefit. One response is
requested of each respondent.
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Previous Requests for Comments: The
RRB has already published the initial
60-day notice (86 FR 21361 on April 22,
2021) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
Information Collection Request (ICR)
Title: Medicare.
OMB Control Number: 3220–0082.
Form submitted: AA–6, AA–7, AA–8
and RL–311–F.
Type of request: Revision of a
currently approved collection.
Affected public: Individuals or
Households; Businesses or other for
profits.
Abstract: The Railroad Retirement
Board administers the Medicare
program for persons covered by the
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Federal Register / Vol. 86, No. 121 / Monday, June 28, 2021 / Notices
railroad retirement system. The forms in
the collection obtain both information
needed to enroll non-retired employees
and survivor applicants in the plan and
information from railroad employers
needed to determine if a railroad
retirement beneficiary is entitled to a
special enrollment period when
applying for supplemental medical
coverage under Medicare.
Changes proposed: The RRB proposes
no changes to the forms AA–6, AA–7, or
AA–8. The RRB proposed the following
changes to Form RL–311–F:
• Add the option to return the form
by facsimile.
Annual
responses
Form No.
Time
(minutes)
Burden
(hours)
AA–6 ............................................................................................................................................
AA–7 ............................................................................................................................................
AA–8 ............................................................................................................................................
RL–311–F ....................................................................................................................................
180
50
10
2,000
8
8
8
10
24
7
1
333
Total ......................................................................................................................................
2,240
........................
365
4. Title and purpose of information
collection: Request to Non-Railroad
Employer for Information About
Annuitant’s Work and Earnings; OMB
3220–0107.
Under Section 2 of the Railroad
Retirement Act (RRA) (45 U.S.C. 231a),
a railroad employee’s retirement
annuity or an annuity paid to the spouse
of a railroad employee is subject to work
deductions in the Tier II component of
the annuity and any employee
supplemental annuity for any month in
which the annuitant works for a Last
Pre-Retirement Non-Railroad Employer
(LPE). The LPE is defined as the last
person, company, or institution, other
than a railroad employer, that employed
an employee or spouse annuitant. In
addition, the employee, spouse, or
divorced spouse Tier I annuity benefit is
subject to work deductions under
Section 2(f)(1) of the RRA for earnings
from any non-railroad employer that are
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• Changed question 4 to replace
working with employed, add an
employment start date for the employee,
and add additional instructions.
The burden estimate for the ICR is as
follows:
over the annual exempt amount. The
regulations pertaining to non-payment
of annuities by reason of work and LPE
are contained in 20 CFR 230.1 and
230.2.
The RRB utilizes Form RL–231–F,
Request to Non-Railroad Employer for
Information About Annuitant’s Work
and Earnings, to obtain the information
needed to determine if a work
deduction should be applied because an
annuitant worked in non-railroad
employment after the annuity beginning
date. One response is requested of each
respondent. Completion is voluntary.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (86 FR 21362 on April 22,
2021) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
Information Collection Request (ICR)
Title: Request to Non-Railroad
Employer for Information About
Annuitant’s Work and Earnings.
OMB Control Number: 3220–0107.
Form(s) submitted: RL–231–F.
Type of request: Extension without
change of a currently approved
collection.
Affected public: Private Sector;
Businesses or other for-profits, Not-forprofit institutions.
Abstract: Under the Railroad
Retirement Act (RRA), benefits are not
payable if an annuitant works for an
employer covered under the RRA or last
non-railroad employer. The collection
obtains information regarding an
annuitant’s work and earnings from a
non-railroad employer. The information
is used to determine whether benefits
should be withheld.
Changes proposed: The RRB proposes
no changes to Form RL–231–F.
The burden estimate for the ICR is as
follows:
Form No.
Annual
responses
Time
(minutes)
Burden
(hours)
RL–231–F ....................................................................................................................................
300
30
150
5. Title and Purpose of information
collection: Annual Earnings
Questionnaire for Annuitants in Last
Pre-Retirement Non-Railroad
Employment; OMB 3220–0179.
Under Section 2(e)(3) of the Railroad
Retirement Act (RRA) (45 U.S.C. 231a),
an annuity is not payable for any month
in which a beneficiary works for a
railroad. In addition, an annuity is
reduced for any month in which the
beneficiary works for an employer other
than a railroad employer and earns more
than a prescribed amount. Under the
1988 amendments to the RRA, the Tier
II portion of the regular annuity and any
supplemental annuity must be reduced
by one dollar for each two dollars of
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Jkt 253001
Last Pre-Retirement Non-Railroad
Employment (LPE) earnings for each
month of such service. However, the
reduction cannot exceed 50 percent of
the Tier II and supplemental annuity
amount for the month to which such
deductions apply. The LPE generally
refers to an annuitant’s last employment
with a non-railroad person, company, or
institution prior to retirement, which
was performed at the same time as
railroad employment or after the
annuitant stopped railroad employment.
The collection obtains earnings
information needed by the RRB to
determine if possible reductions in
annuities are in order due to LPE.
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The RRB utilizes Form G–19L,
Annual Earnings Questionnaire, to
obtain LPE earnings information from
annuitants. One response is requested of
each respondent. Completion is
required to retain a benefit.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (86 FR 21362 on April 22,
2021) required by 44 U.S.C. 3506(c)(2).
That request elicited no comments.
Information Collection Request (ICR)
Title: Annual Earnings Questionnaire
for Annuitants in Last Pre-Retirement
Non-Railroad Employment.
OMB Control Number: 3220–0179.
Form submitted: G–19L.
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Federal Register / Vol. 86, No. 121 / Monday, June 28, 2021 / Notices
Type of request: Extension without
change of a currently approved
collection.
Affected public: Individuals or
Households.
Abstract: Under Section 2(e)(3) of the
Railroad Retirement Act, an annuity is
determine possible reductions in
annuities because of earnings.
Changes proposed: The RRB proposes
no changes to Form G–19L.
The burden estimate for the ICR is as
follows:
Form No.
Annual
responses
Time
(minutes)
Burden
(hours)
G–19L ..........................................................................................................................................
300
15
75
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,
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
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function.
Brian Foster,
Clearance Officer.
[FR Doc. 2021–13666 Filed 6–25–21; 8:45 am]
BILLING CODE 7905–01–P
EXECUTIVE OFFICE OF THE
PRESIDENT
Request for Information To Improve
Federal Scientific Integrity Policies
White House Office of Science
and Technology Policy.
ACTION: Notice of request for
information.
AGENCY:
The White House Office of
Science and Technology Policy (OSTP)
seeks information to help improve the
effectiveness of Federal scientific
integrity policies to enhance public trust
in science. The January 27, 2021
Presidential Memorandum on Restoring
Trust in Government Through Scientific
Integrity and Evidence-Based
Policymaking (Memorandum) directs
OSTP to convene an interagency task
force under the National Science and
Technology Council to review the
effectiveness of policies developed since
the issuance of the Presidential
Memorandum on scientific integrity
issued on March 9, 2009 in preventing
improper political interference in the
SUMMARY:
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not payable or is reduced for any month
in which the beneficiary works for a
railroad or earns more than the
prescribed amounts. The collection
obtains earnings information needed by
the Railroad Retirement Board to
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17:39 Jun 25, 2021
Jkt 253001
conduct of scientific research and the
collection of data; preventing the
suppression or distortion of findings,
data, information, conclusions, or
technical results; supporting scientists
and researchers of all genders, races,
ethnicities, and backgrounds; and
advancing the equitable delivery of the
Federal Government’s programs. To
support this assessment, OSTP seeks
information about: (1) The effectiveness
of Federal scientific integrity policies
and needed areas of improvement; (2)
good practices Federal agencies could
adopt to improve scientific integrity,
including in the communication of
scientific information, addressing
emerging technologies and evolving
scientific practices, supporting
professional development of Federal
scientists, and promoting transparency
in the implementation of agency
scientific integrity policies; and (3)
other topics or concerns that Federal
scientific integrity policies should
address. Please note the purpose of this
RFI is not to receive reports on alleged
offenses that are in violation of Federal
scientific integrity policies. If you have
witnessed or experienced any harmful
acts that may undermine scientific
integrity and you would like to report
these allegations, please contact the
Scientific Integrity Officer or Office of
the Inspector General at the relevant
Federal agency.
DATES: Interested persons and
organizations are invited to submit
comments on or before 5:00 p.m. ET on
July 28, 2021.
ADDRESSES: Interested individuals and
organizations should submit comments
electronically to ScientificIntegrityRFI@
ostp.eop.gov and include ‘‘SI–FTAC
RFI’’ in the subject line of the email.
Due to time constraints, mailed paper
submissions will not be accepted, and
electronic submissions received after
the deadline cannot be ensured to be
incorporated or taken into
consideration.
Instructions
Response to this RFI is voluntary.
Each responding entity (individual or
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Fmt 4703
Sfmt 4703
organization) is requested to submit
only one response. OSTP welcomes any
responses to inform and guide the work
of the Scientific Integrity Fast-Track
Action Committee (SI–FTAC). Please
feel free to respond to one or as many
prompts as you choose. Submission
must not exceed 7 pages in 12-point or
larger font, with a page number
provided on each page. Responses
should include the name of the
person(s) or organization(s) filing the
comment, as well as the respondent
type (e.g., academic, advocacy,
professional society, community-based
organization, industry, member of the
public, government, other).
Respondent’s role in the organization
may also be provided (e.g., researcher,
administrator, student, program
manager, journalist) on a voluntary
basis. Comments containing references,
studies, research, and other empirical
data that are not widely published
should include copies or electronic
links of the referenced materials. No
business proprietary information,
copyrighted information, or personally
identifiable information should be
submitted in response to this RFI. Please
be aware that comments submitted in
response to this RFI may be posted on
OSTP’s website or otherwise released
publicly.
In accordance with FAR 15.202(3),
responses to this notice are not offers
and cannot be accepted by the Federal
Government to form a binding contract.
Additionally, those submitting
responses are solely responsible for all
expenses associated with response
preparation.
For
additional information, please direct
questions to Ryan Donohue at
ScientificIntegrity@ostp.eop.gov.
SUPPLEMENTARY INFORMATION:
Background: On January 27, 2021,
President Biden issued a Presidential
Memorandum on Restoring Trust in
Government Through Scientific
Integrity and Evidence-Based
Policymaking (2021 Memorandum). The
Memorandum asserts the
FOR FURTHER INFORMATION CONTACT:
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]]>Agencies
[Federal Register Volume 86, Number 121 (Monday, June 28, 2021)]
[Notices]
[Pages 34061-34064]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-13666]
=======================================================================
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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: Claimant Appeal
Under the Railroad Retirement Act or and Railroad Unemployment
Insurance Act; OMB 3220-0007.
Under Section 7(b)(3) of the Railroad Retirement Act (RRA) (45
U.S.C. 231f), and Section 5(c) of the Railroad Unemployment Insurance
Act (RUIA) (45 U.S.C. 355) any person aggrieved by a decision made by
an office of the RRB on his or her application for an annuity or
benefit under those Acts has the right to appeal to the RRB. This right
is prescribed in 20 CFR 260 and 20 CFR 320. The notification letter,
which is provided at the time of filing the
[[Page 34062]]
original application, informs the applicant of such right. When an
applicant protests a decision, the concerned RRB office reviews the
entire file and any additional evidence submitted and sends the
applicant a letter explaining the basis of the determination. The
applicant is then notified that to protest further, they can appeal to
the RRB's Bureau of Hearings and Appeals. The appeal process is
prescribed in 20 CFR 260.5 and 260.9 and 20 CFR 320.12 and 320.38.
To file a request for an appeal the applicant must complete Form
HA-1, Appeal Under the Railroad Retirement Act or Railroad Unemployment
Insurance Act. The form asks the applicant to explain the basis for
their request for an appeal and, if necessary, to describe any
additional evidence they wish to submit in support of the appeal.
Completion is voluntary, however, if the information is not provided
the RRB cannot process the appeal.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (86 FR 21361 on April 22, 2021) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Claimant Appeal Under the Railroad Retirement Act or
Railroad Unemployment Insurance Act.
OMB Control Number: 3220-0007.
Form(s) submitted: HA-1.
Type of request: Revision of a currently approved collection.
Affected public: Individuals or Households.
Abstract: Under Section 7(b)(3) of the Railroad Retirement Act and
Section 5(c) of the Railroad Unemployment Insurance Act, a person
aggrieved by a decision on his or her application for an annuity or
other benefit has the right to appeal to the RRB. The collection
provides the means for the appeal action.
Changes proposed: The RRB proposes minor changes to Form HA-1 to
the reference citation and minor grammar on page 2.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
HA-1......................................................... 550 20 183
----------------------------------------------------------------------------------------------------------------
2. Title and purpose of information collection: Application for
Benefits Due But Unpaid at Death; OMB 3220-0055.
Under Section 2(g) of the Railroad Unemployment Insurance Act (45
U.S.C. 352), benefits that accrued but were not paid because of the
death of the employee shall be paid to the same individual(s) to whom
benefits are payable under Section 6(a)(1) of the Railroad Retirement
Act. The provisions relating to the payment of such benefits are
prescribed in 20 CFR 325.5 and 20 CFR 335.5.
The RRB provides Form UI-63, Application for Benefits Due But
Unpaid at Death, to those applying for the accrued sickness or
unemployment benefits unpaid at the death of the employee and for
obtaining the information needed to identify the proper payee. One
response is requested of each respondent. Completion is required to
obtain a benefit.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (86 FR 21361 on April 22, 2021) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Application for Benefits Due but Unpaid at Death.
OMB Control Number: 3220-0055.
Form(s) submitted: UI-63.
Type of request: Extension without change of a currently approved
collection.
Affected public: Individuals or Households.
Abstract: The collection obtains the information needed by the
Railroad Retirement Board to pay benefits accrued under section 2(g) of
the Railroad Unemployment Insurance Act, but not paid because of the
death of the employee.
Changes proposed: The RRB proposes no changes to Form UI-63.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
UI-63........................................................ 24 7 3
----------------------------------------------------------------------------------------------------------------
3. Title and purpose of information collection: Medicare; OMB 3220-
0082.
Under Section 7(d) of the Railroad Retirement Act (RRA) (45 U.S.C.
231f), the Railroad Retirement Board (RRB) administers the Medicare
program for persons covered by the railroad retirement system. The RRB
uses Form AA-6, Employee Application for Medicare; Form AA-7, Spouse/
Divorced Spouse Application for Medicare; and Form AA-8, Widow/Widower
Application for Medicare; to obtain the information needed to determine
whether individuals who have not yet filed for benefits under the RRA
are qualified for Medicare payments provided under Title XVIII of the
Social Security Act.
Further, in order to determine if a qualified railroad retirement
beneficiary who is claiming supplementary medical insurance coverage
under Medicare is entitled to a Special Enrollment Period (SEP) and/or
premium surcharge relief because of coverage under an Employer Group
Health Plan (EGHP), the RRB needs to obtain information regarding the
claimant's EGHP coverage, if any. The RRB uses Form RL-311-F, Evidence
of Coverage Under An Employer Group Health Plan, to obtain the basic
information needed to establish EGHP coverage for a qualified railroad
retirement beneficiary.
Completion of the forms is required to obtain a benefit. One
response is requested of each respondent.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (86 FR 21361 on April 22, 2021) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Medicare.
OMB Control Number: 3220-0082.
Form submitted: AA-6, AA-7, AA-8 and RL-311-F.
Type of request: Revision of a currently approved collection.
Affected public: Individuals or Households; Businesses or other for
profits.
Abstract: The Railroad Retirement Board administers the Medicare
program for persons covered by the
[[Page 34063]]
railroad retirement system. The forms in the collection obtain both
information needed to enroll non-retired employees and survivor
applicants in the plan and information from railroad employers needed
to determine if a railroad retirement beneficiary is entitled to a
special enrollment period when applying for supplemental medical
coverage under Medicare.
Changes proposed: The RRB proposes no changes to the forms AA-6,
AA-7, or AA-8. The RRB proposed the following changes to Form RL-311-F:
Add the option to return the form by facsimile.
Changed question 4 to replace working with employed, add
an employment start date for the employee, and add additional
instructions.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
AA-6............................................................ 180 8 24
AA-7............................................................ 50 8 7
AA-8............................................................ 10 8 1
RL-311-F........................................................ 2,000 10 333
-----------------------------------------------
Total....................................................... 2,240 .............. 365
----------------------------------------------------------------------------------------------------------------
4. Title and purpose of information collection: Request to Non-
Railroad Employer for Information About Annuitant's Work and Earnings;
OMB 3220-0107.
Under Section 2 of the Railroad Retirement Act (RRA) (45 U.S.C.
231a), a railroad employee's retirement annuity or an annuity paid to
the spouse of a railroad employee is subject to work deductions in the
Tier II component of the annuity and any employee supplemental annuity
for any month in which the annuitant works for a Last Pre-Retirement
Non-Railroad Employer (LPE). The LPE is defined as the last person,
company, or institution, other than a railroad employer, that employed
an employee or spouse annuitant. In addition, the employee, spouse, or
divorced spouse Tier I annuity benefit is subject to work deductions
under Section 2(f)(1) of the RRA for earnings from any non-railroad
employer that are over the annual exempt amount. The regulations
pertaining to non-payment of annuities by reason of work and LPE are
contained in 20 CFR 230.1 and 230.2.
The RRB utilizes Form RL-231-F, Request to Non-Railroad Employer
for Information About Annuitant's Work and Earnings, to obtain the
information needed to determine if a work deduction should be applied
because an annuitant worked in non-railroad employment after the
annuity beginning date. One response is requested of each respondent.
Completion is voluntary.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (86 FR 21362 on April 22, 2021) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Request to Non-Railroad Employer for Information About
Annuitant's Work and Earnings.
OMB Control Number: 3220-0107.
Form(s) submitted: RL-231-F.
Type of request: Extension without change of a currently approved
collection.
Affected public: Private Sector; Businesses or other for-profits,
Not-for-profit institutions.
Abstract: Under the Railroad Retirement Act (RRA), benefits are not
payable if an annuitant works for an employer covered under the RRA or
last non-railroad employer. The collection obtains information
regarding an annuitant's work and earnings from a non-railroad
employer. The information is used to determine whether benefits should
be withheld.
Changes proposed: The RRB proposes no changes to Form RL-231-F.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
RL-231-F..................................................... 300 30 150
----------------------------------------------------------------------------------------------------------------
5. Title and Purpose of information collection: Annual Earnings
Questionnaire for Annuitants in Last Pre-Retirement Non-Railroad
Employment; OMB 3220-0179.
Under Section 2(e)(3) of the Railroad Retirement Act (RRA) (45
U.S.C. 231a), an annuity is not payable for any month in which a
beneficiary works for a railroad. In addition, an annuity is reduced
for any month in which the beneficiary works for an employer other than
a railroad employer and earns more than a prescribed amount. Under the
1988 amendments to the RRA, the Tier II portion of the regular annuity
and any supplemental annuity must be reduced by one dollar for each two
dollars of Last Pre-Retirement Non-Railroad Employment (LPE) earnings
for each month of such service. However, the reduction cannot exceed 50
percent of the Tier II and supplemental annuity amount for the month to
which such deductions apply. The LPE generally refers to an annuitant's
last employment with a non-railroad person, company, or institution
prior to retirement, which was performed at the same time as railroad
employment or after the annuitant stopped railroad employment. The
collection obtains earnings information needed by the RRB to determine
if possible reductions in annuities are in order due to LPE.
The RRB utilizes Form G-19L, Annual Earnings Questionnaire, to
obtain LPE earnings information from annuitants. One response is
requested of each respondent. Completion is required to retain a
benefit.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (86 FR 21362 on April 22, 2021) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Annual Earnings Questionnaire for Annuitants in Last Pre-
Retirement Non-Railroad Employment.
OMB Control Number: 3220-0179.
Form submitted: G-19L.
[[Page 34064]]
Type of request: Extension without change of a currently approved
collection.
Affected public: Individuals or Households.
Abstract: Under Section 2(e)(3) of the Railroad Retirement Act, an
annuity is not payable or is reduced for any month in which the
beneficiary works for a railroad or earns more than the prescribed
amounts. The collection obtains earnings information needed by the
Railroad Retirement Board to determine possible reductions in annuities
because of earnings.
Changes proposed: The RRB proposes no changes to Form G-19L.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual
Form No. responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
G-19L........................................................ 300 15 75
----------------------------------------------------------------------------------------------------------------
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 for
Public Comments'' or by using the search function.
Brian Foster,
Clearance Officer.
[FR Doc. 2021-13666 Filed 6-25-21; 8:45 am]
BILLING CODE 7905-01-P
