Agency Forms Submitted for OMB Review, Request for Comments, 83588-83590 [2023-26332]
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83588
Federal Register / Vol. 88, No. 229 / Thursday, November 30, 2023 / Notices
FOR FURTHER INFORMATION CONTACT:
Elizabeth Reed, 202–268–3179.
SUPPLEMENTARY INFORMATION: On
November 13, 2023, pursuant to their
authority under 39 U.S.C. 3632, the
Governors of the Postal Service
established prices and classification
changes for competitive products to
establish Zone 10 prices for Priority
Mail Express, Priority Mail, and USPS
Ground Advantage. The Governors’
Decision and the record of proceedings
in connection with such decision are
reprinted below in accordance with
section 3632(b)(2). Mail Classification
Schedule language containing the new
prices and classification changes can be
found at www.prc.gov.
Colleen Hibbert-Kapler,
Attorney, Ethics and Legal Compliance.
Decision of the Governors of the United
States Postal Service on Changes in
Rates and Classifications of General
Applicability for Competitive Products
(Governors’ Decision No. 23–6)
khammond on DSKJM1Z7X2PROD with NOTICES
November 14, 2023
Statement of Explanation and
Justification
Pursuant to authority under section
3632 of title 39, as amended by the
Postal Accountability and Enhancement
Act of 2006 (‘‘PAEA’’), we establish
prices and classifications of general
applicability for certain competitive
products in order to establish Zone 10
rates for offshore locations. Specifically,
Zone 10 rates will be added to the price
charts for the Postal Service’s ‘‘full
network’’ competitive products: Priority
Mail Express, Priority Mail, and USPS
Ground Advantage. The rates will apply
to mail destinating in Alaska, Hawaii,
and US Territories, and not originating
in the same state or territory. Prices are
designed to be five percent higher than
the January 2024 proposed prices for
Zone 8. Additionally, USPS Ground
Advantage prices for Zone 9 will be
increased to align with the new Zone 10
prices. Classification changes will be
made in the relevant price charts to
include new columns for Zone 10
prices. A detailed description of the
changes can be found in the Postal
Service’s associated draft Mail
Classification Schedule change
document. That document contains the
draft Mail Classification Schedule
sections with classification changes in
legislative format, and new prices
displayed in the price charts.
As shown in the nonpublic annex
being filed under seal herewith, the
changes we establish should enable
each affected competitive product to
cover its attributable costs (39 U.S.C.
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17:22 Nov 29, 2023
Jkt 262001
3633(a)(2)) and should result in
competitive products as a whole
complying with 39 U.S.C. 3633(a)(3),
which, as implemented by 39 CFR
3035.107(c), requires competitive
products collectively to contribute a
minimum of 9.9 percent to the Postal
Service’s institutional costs.
Accordingly, no issue of subsidization
of competitive products by market
dominant products should arise (39
U.S.C. 3633(a)(1)). We therefore find
that the new prices and classification
changes are in accordance with 39
U.S.C. 3632–3633 and 39 CFR 3035.102
and 104.
OIRA ensures that we impose
appropriate paperwork burdens.
The RRB invites comments on the
proposed collection of information to
determine (1) the practical utility of the
collection; (2) the accuracy of the
estimated burden of the collection; (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
Order
comments, it is best if the RRB and
OIRA receive them within 30 days of
The changes in prices and classes set
the publication date.
forth herein shall be effective no earlier
1. Title and purpose of information
than July 1, 2024, on a date and time
collection: Application and Claim for
determined at the discretion of
management. We direct the Secretary to Unemployment Benefits and
Employment Service; OMB 3220–0022.
have this decision published in the
Section 2 of the Railroad
Federal Register in accordance with 39
Unemployment Insurance Act (RUIA)
U.S.C. 3632(b)(2) and direct
(45 U.S.C. 231), provides
management to file with the Postal
unemployment benefits for qualified
Regulatory Commission appropriate
railroad employees. These benefits are
notice of these changes.
generally payable for each day of
By The Governors:
unemployment in excess of four during
/s/
a registration period (normally a period
Roman Martinez IV,
of 14 days).
Section 12 of the RUIA provides that
Chairman, Board of Governors.
the RRB establish, maintain and operate
United States Postal Service Office of
free employment facilities directed
The Board of Governors
toward the reemployment of railroad
Certification of Governors’ Vote on
employees. The procedures for applying
Governors’ Decision No. 23–6
for the unemployment benefits and
employment service and for registering
Consistent with 39 U.S.C. 3632(a), I
and claiming the benefits are prescribed
hereby certify that, on November 13,
in 20 CFR 325.
2023, the Governors voted on adopting
The RRB utilizes the following forms
Governors’ Decision No. 23–6, and that
a majority of the Governors then holding to collect the information necessary to
pay unemployment benefits: Form UI–1
office voted in favor of that Decision.
(or its internet equivalent, Form UI–1
Date: November 13, 2023.
(Internet)), Application for
/s/ lllllllllllllllllll Unemployment Benefits and
Michael J. Elston,
Employment Service, is completed by a
claimant for unemployment benefits
Secretary of the Board of Governors.
once in a benefit year, at the time of first
[FR Doc. 2023–26359 Filed 11–29–23; 8:45 am]
registration. Completion of Form UI–1
BILLING CODE 7710–12–P
or UI–1 (Internet) also registers an
unemployment claimant for the RRB’s
employment service.
RAILROAD RETIREMENT BOARD
The RRB also utilizes Form UI–3, (or
its internet equivalent Form UI–3
Agency Forms Submitted for OMB
(Internet)) Claim for Unemployment
Review, Request for Comments
Benefits for use in claiming
In accordance with the Paperwork
unemployment benefits for days of
Reduction Act of 1995 (44 U.S.C.
unemployment in a particular
chapter 35), the Railroad Retirement
registration period, normally a period of
Board (RRB) is forwarding an
14 days.
Completion of Forms UI–1, UI–1
Information Collection Request (ICR) to
the Office of Information and Regulatory (Internet), UI–3 and UI–3 (Internet) is
required to obtain or retain benefits. The
Affairs (OIRA), Office of Management
number of responses required of each
and Budget (OMB). Our ICR describes
claimant varies, depending on their
the information we seek to collect from
period of unemployment.
the public. Review and approval by
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83589
Federal Register / Vol. 88, No. 229 / Thursday, November 30, 2023 / Notices
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (88 FR 66067 on
September 26, 2023) required by 44
U.S.C. 3506(c)(2). That request elicited
no comments.
Information Collection Request (ICR)
Title: Application and Claim for
Unemployment Benefits and
Employment Service.
UI–1
UI–1
UI–3
UI–3
OMB Control Number: 3220–0022.
Forms submitted: UI–1, UI–1
(Internet), UI–3, UI–3 (Internet).
Type of request: Revision of a
currently approved collection.
Affected public: Individuals or
Households.
Abstract: Under section 2 of the
Railroad Unemployment Insurance Act,
unemployment benefits are provided for
qualified railroad employees. The
...........................................................................................................................
(Internet) ............................................................................................................
...........................................................................................................................
(Internet) ............................................................................................................
2,118
7,549
23,724
82,027
10
10
6
6
323
1,258
2,372
8,203
Total ....................................................................................................................
115,418
..............................
12,186
2. Title and purpose of information
collection: Placement Service; OMB
3220–0057.
Section 12(i) of the Railroad
Unemployment Insurance Act (RUIA)
(45 U.S.C. 362), authorizes the RRB to
establish, maintain, and operate free
employment offices to provide
claimants for unemployment benefits
with job placement opportunities.
Section 704(d) of the Regional Railroad
Reorganization Act of 1973, as
amended, and as extended by the
Consolidated Omnibus Budget
Reconciliation Act of 1985, required the
RRB to maintain and distribute a list of
railroad job vacancies, by class and
craft, based on information furnished by
rail carriers to the RRB. Although the
requirement under the law expired
effective August 13, 1987, the RRB has
continued to obtain this information in
keeping with its employment service
responsibilities under section 12(k) of
the RUIA. Application procedures for
the job placement program are
prescribed in 20 CFR 325. The
procedures pertaining to the RRB’s
obtaining and distributing job vacancy
reports furnished by rail carriers are
described in 20 CFR 346.1.
The RRB currently utilizes four forms
to obtain information needed to carry
out its job placement responsibilities.
Form ES–2, Central Register
Notification, is used by the RRB to
obtain information needed to update a
computerized central register of
separated and furloughed railroad
employees available for employment in
the railroad industry. Forms ES–21,
Referral to State Employment Service,
and ES–21c, Report of State
Employment Service Office, are used by
the RRB to provide placement assistance
for unemployed railroad employees
through arrangements with State
Employment Service offices. Form UI–
35, Field Office Record of Claimant
Interview, is used primarily by the RRB
to conduct in-person interviews of
claimants for unemployment benefits.
Completion of these forms is required
to obtain or maintain a benefit. In
addition, the RRB also collects Railroad
Job Vacancies information received
voluntarily from railroad employers.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (88 FR 66068 on
September 26, 2023) required by 44
U.S.C. 3506(c)(2). That request elicited
no comments.
Information Collection Request (ICR)
Title: Placement Service.
OMB Control Number: 3220–0057.
Form(s) submitted: ES–2, ES–21, ES–
21c, UI–35 and Job Vacancies Report.
Type of request: Extension without
change of a currently approved
collection.
Affected public: Private Sector,
Businesses or other for-profits;
Individuals or Households; State, Local,
and Tribal Governments.
Abstract: Under the RUIA, the
Railroad Retirement Board provides job
placement assistance for unemployed
railroad workers. The collection obtains
information from job applicants,
railroad employers, and State
Employment Service offices for use in
placement, for providing referrals for job
openings, reports of referral results and
for verifying and monitoring claimant
eligibility.
Changes proposed: The RRB proposes
no changes to the forms in this
information collection.
The burden estimate for the ICR is as
follows:
Annual
responses
Form No.
khammond on DSKJM1Z7X2PROD with NOTICES
collection obtains the information
needed to determine the eligibility to
and amount of such benefits for railroad
employees.
Changes proposed: The RRB proposes
no changes to the forms in the
collection.
The burden estimate for the ICR is as
follows:
Time
(minutes)
Burden
(hours)
ES–21 ........................................................................................................................
ES–21c ......................................................................................................................
UI–35 in person .........................................................................................................
UI–35 by mail .............................................................................................................
Job Vacancies ...........................................................................................................
80
25
6,300
700
470
1.00
2.00
7.00
11.00
10.00
1
1
735
128
78
Total ....................................................................................................................
7,575
..............................
943
3. Title and purpose of information
collection: Report of Medicaid State
Office on Beneficiary’s Buy-In Status;
OMB 3220–0185.
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Under section 7(d) of the Railroad
Retirement Act (45 U.S.C. 231), the RRB
administers the Medicare program for
persons covered by the railroad
retirement system. Under section 1843
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Frm 00059
Fmt 4703
Sfmt 4703
of the Social Security Act, states may
enter into ‘‘buy-in agreements’’ with the
Secretary of Health and Human Services
for the purpose of enrolling certain
groups of low-income individuals under
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83590
Federal Register / Vol. 88, No. 229 / Thursday, November 30, 2023 / Notices
the Medicare medical insurance (Part B)
program and paying the premiums for
their insurance coverage. Generally,
these individuals are categorically
needy under Medicaid and meet the
eligibility requirements for Medicare
Part B. States can also include in their
buy-in agreements, individuals who are
eligible for medical assistance only. The
RRB uses Form RL–380–F, Report to
State Medicaid Office, to obtain
information needed to determine if
certain railroad beneficiaries are entitled
to receive Supplementary Medical
Insurance program coverage under a
state buy-in agreement in states in
which they reside. Completion of Form
RL–380–F is voluntary. One response is
received from each respondent.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (88 FR 66068 on
Information Collection Request (ICR)
Title: Report of Medicaid State Office
on Beneficiary’s Buy-In Status.
OMB Control Number: 3220–0185.
Forms submitted: RL–380–F.
Type of request: Revision of a
currently approved collection.
Affected public: State, local, and
Tribal governments.
Abstract: Under the Railroad
Retirement Act, the Railroad Retirement
Board administers the Medicare
program for persons covered by the
railroad retirement system. The
collection obtains the information
needed to determine if certain railroad
beneficiaries are entitled to receive
Supplemental Medical Insurance
program coverage under a state buy-in
agreement in states in which they
reside.
Changes proposed: The RRB proposes
the following changes to Form RL–380–
F:
• Change ‘Medicare Number’ box on
righthand side of form to ‘Medicare
Beneficiary Identifier’.
• Remove box 6 on righthand side of
form ‘Social Security Number’ as it is a
duplicate of box 4 ‘Beneficiary’s Own
Social Security Number’.
• In Question 4, change ‘Medicare
number under which state paid
premium (if different from RRB
Medicare claim number’ to ‘Medicare
Beneficiary Identifier Number (MBI) in
which state paid premium’.
The burden estimate for the ICR is as
follows:
Form No.
Annual
responses
Time
(minutes)
Burden
(hours)
RL–380–F ..................................................................................................................
600
10
100
Additional Information or Comments:
Copies of the forms and supporting
documents can be obtained from
Kennisha Money at (312) 469–2591 or
Kennisha.Money@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. 2023–26332 Filed 11–29–23; 8:45 am]
BILLING CODE 7905–01–P
khammond on DSKJM1Z7X2PROD with NOTICES
September 26, 2023) required by 44
U.S.C. 3506(c)(2). That request elicited
no comments.
SECURITIES AND EXCHANGE
COMMISSION
[Release No. 34–99017; File No. SR–MEMX–
2023–25]
Self-Regulatory Organizations; MEMX
LLC; Suspension of and Order
Instituting Proceedings To Determine
Whether To Approve or Disapprove a
Proposed Rule Change To Amend Its
Fee Schedule To Establish an Options
Regulatory Fee
November 24, 2023.
I. Introduction
On September 27, 2023, MEMX LLC
(‘‘MEMX’’ or the ‘‘Exchange’’) filed with
the Securities and Exchange
Commission (the ‘‘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 (file number SR–
MEMX–2023–25) to adopt an Options
Regulatory Fee (‘‘ORF’’).3 The proposed
rule change was immediately effective
upon filing with the Commission
pursuant to section 19(b)(3)(A) of the
Act.4 The proposed rule change was
1 15
U.S.C. 78s(b)(1).
CFR 240.19b–4.
3 See Securities Exchange Act Release No. 98585
(September 28, 2023), 88 FR 68692 (October 4,
2023) (‘‘Notice’’).
4 15 U.S.C. 78s(b)(3)(A). A proposed rule change
may take effect upon filing with the Commission if
it is designated by the exchange as ‘‘establishing or
changing a due, fee, or other charge imposed by the
self-regulatory organization on any person, whether
2 17
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17:22 Nov 29, 2023
Jkt 262001
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Fmt 4703
Sfmt 4703
published for comment in the Federal
Register on October 4, 2023.5
Pursuant to section 19(b)(3)(C) of the
Act,6 the Commission is hereby: (1)
temporarily suspending file number SR–
MEMX–2023–25; and (2) instituting
proceedings to determine whether to
approve or disapprove file number SR–
MEMX–2023–25.
II. Description of the Proposed Rule
Change
The Exchange proposes to establish
an ORF in the amount of $0.0015 per
contract side.7 The per-contract ORF
will be collected by the Options
Clearing Corporation (‘‘OCC’’) on behalf
of the Exchange for each options
transaction, cleared or ultimately
cleared by an Exchange member in the
‘‘customer’’ range, regardless of the
exchange on which the transaction
occurs. The ORF is collected from
either: (1) a Member that was the
ultimate clearing firm for the
transaction; or (2) a non-Member that
was the ultimate clearing firm where a
Member was the executing clearing firm
for the transaction.8
According to the Exchange, the
amount of the proposed ORF fee is
‘‘based on historical industry volume,
projected volumes on the Exchange, and
or not the person is a member of the self-regulatory
organization.’’ 15 U.S.C. 78s(b)(3)(A)(ii).
5 See Notice, supra note 3.
6 15 U.S.C. 78s(b)(3)(C).
7 See Notice, supra note 3, at 68692.
8 Id.
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]]>Agencies
[Federal Register Volume 88, Number 229 (Thursday, November 30, 2023)]
[Notices]
[Pages 83588-83590]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-26332]
=======================================================================
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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 collection of information
to determine (1) the practical utility of the collection; (2) the
accuracy of the estimated burden of the collection; (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 and
Claim for Unemployment Benefits and Employment Service; OMB 3220-0022.
Section 2 of the Railroad Unemployment Insurance Act (RUIA) (45
U.S.C. 231), provides unemployment benefits for qualified railroad
employees. These benefits are generally payable for each day of
unemployment in excess of four during a registration period (normally a
period of 14 days).
Section 12 of the RUIA provides that the RRB establish, maintain
and operate free employment facilities directed toward the reemployment
of railroad employees. The procedures for applying for the unemployment
benefits and employment service and for registering and claiming the
benefits are prescribed in 20 CFR 325.
The RRB utilizes the following forms to collect the information
necessary to pay unemployment benefits: Form UI-1 (or its internet
equivalent, Form UI-1 (Internet)), Application for Unemployment
Benefits and Employment Service, is completed by a claimant for
unemployment benefits once in a benefit year, at the time of first
registration. Completion of Form UI-1 or UI-1 (Internet) also registers
an unemployment claimant for the RRB's employment service.
The RRB also utilizes Form UI-3, (or its internet equivalent Form
UI-3 (Internet)) Claim for Unemployment Benefits for use in claiming
unemployment benefits for days of unemployment in a particular
registration period, normally a period of 14 days.
Completion of Forms UI-1, UI-1 (Internet), UI-3 and UI-3 (Internet)
is required to obtain or retain benefits. The number of responses
required of each claimant varies, depending on their period of
unemployment.
[[Page 83589]]
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (88 FR 66067 on September 26, 2023) required by
44 U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Application and Claim for Unemployment Benefits and
Employment Service.
OMB Control Number: 3220-0022.
Forms submitted: UI-1, UI-1 (Internet), UI-3, UI-3 (Internet).
Type of request: Revision of a currently approved collection.
Affected public: Individuals or Households.
Abstract: Under section 2 of the Railroad Unemployment Insurance
Act, unemployment benefits are provided for qualified railroad
employees. The collection obtains the information needed to determine
the eligibility to and amount of such benefits for railroad employees.
Changes proposed: The RRB proposes no changes to the forms in the
collection.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------
UI-1................................................... 2,118 10 323
UI-1 (Internet)........................................ 7,549 10 1,258
UI-3................................................... 23,724 6 2,372
UI-3 (Internet)........................................ 82,027 6 8,203
--------------------------------------------------------
Total.............................................. 115,418 ................. 12,186
----------------------------------------------------------------------------------------------------------------
2. Title and purpose of information collection: Placement Service;
OMB 3220-0057.
Section 12(i) of the Railroad Unemployment Insurance Act (RUIA) (45
U.S.C. 362), authorizes the RRB to establish, maintain, and operate
free employment offices to provide claimants for unemployment benefits
with job placement opportunities. Section 704(d) of the Regional
Railroad Reorganization Act of 1973, as amended, and as extended by the
Consolidated Omnibus Budget Reconciliation Act of 1985, required the
RRB to maintain and distribute a list of railroad job vacancies, by
class and craft, based on information furnished by rail carriers to the
RRB. Although the requirement under the law expired effective August
13, 1987, the RRB has continued to obtain this information in keeping
with its employment service responsibilities under section 12(k) of the
RUIA. Application procedures for the job placement program are
prescribed in 20 CFR 325. The procedures pertaining to the RRB's
obtaining and distributing job vacancy reports furnished by rail
carriers are described in 20 CFR 346.1.
The RRB currently utilizes four forms to obtain information needed
to carry out its job placement responsibilities. Form ES-2, Central
Register Notification, is used by the RRB to obtain information needed
to update a computerized central register of separated and furloughed
railroad employees available for employment in the railroad industry.
Forms ES-21, Referral to State Employment Service, and ES-21c, Report
of State Employment Service Office, are used by the RRB to provide
placement assistance for unemployed railroad employees through
arrangements with State Employment Service offices. Form UI-35, Field
Office Record of Claimant Interview, is used primarily by the RRB to
conduct in-person interviews of claimants for unemployment benefits.
Completion of these forms is required to obtain or maintain a
benefit. In addition, the RRB also collects Railroad Job Vacancies
information received voluntarily from railroad employers.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (88 FR 66068 on September 26, 2023) required by
44 U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Placement Service.
OMB Control Number: 3220-0057.
Form(s) submitted: ES-2, ES-21, ES-21c, UI-35 and Job Vacancies
Report.
Type of request: Extension without change of a currently approved
collection.
Affected public: Private Sector, Businesses or other for-profits;
Individuals or Households; State, Local, and Tribal Governments.
Abstract: Under the RUIA, the Railroad Retirement Board provides
job placement assistance for unemployed railroad workers. The
collection obtains information from job applicants, railroad employers,
and State Employment Service offices for use in placement, for
providing referrals for job openings, reports of referral results and
for verifying and monitoring claimant eligibility.
Changes proposed: The RRB proposes no changes to the forms in this
information collection.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Form No. Annual responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
ES-21.................................................. 80 1.00 1
ES-21c................................................. 25 2.00 1
UI-35 in person........................................ 6,300 7.00 735
UI-35 by mail.......................................... 700 11.00 128
Job Vacancies.......................................... 470 10.00 78
--------------------------------------------------------
Total.............................................. 7,575 ................. 943
----------------------------------------------------------------------------------------------------------------
3. Title and purpose of information collection: Report of Medicaid
State Office on Beneficiary's Buy-In Status; OMB 3220-0185.
Under section 7(d) of the Railroad Retirement Act (45 U.S.C. 231),
the RRB administers the Medicare program for persons covered by the
railroad retirement system. Under section 1843 of the Social Security
Act, states may enter into ``buy-in agreements'' with the Secretary of
Health and Human Services for the purpose of enrolling certain groups
of low-income individuals under
[[Page 83590]]
the Medicare medical insurance (Part B) program and paying the premiums
for their insurance coverage. Generally, these individuals are
categorically needy under Medicaid and meet the eligibility
requirements for Medicare Part B. States can also include in their buy-
in agreements, individuals who are eligible for medical assistance
only. The RRB uses Form RL-380-F, Report to State Medicaid Office, to
obtain information needed to determine if certain railroad
beneficiaries are entitled to receive Supplementary Medical Insurance
program coverage under a state buy-in agreement in states in which they
reside. Completion of Form RL-380-F is voluntary. One response is
received from each respondent.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (88 FR 66068 on September 26, 2023) required by
44 U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Report of Medicaid State Office on Beneficiary's Buy-In
Status.
OMB Control Number: 3220-0185.
Forms submitted: RL-380-F.
Type of request: Revision of a currently approved collection.
Affected public: State, local, and Tribal governments.
Abstract: Under the Railroad Retirement Act, the Railroad
Retirement Board administers the Medicare program for persons covered
by the railroad retirement system. The collection obtains the
information needed to determine if certain railroad beneficiaries are
entitled to receive Supplemental Medical Insurance program coverage
under a state buy-in agreement in states in which they reside.
Changes proposed: The RRB proposes the following changes to Form
RL-380-F:
Change `Medicare Number' box on righthand side of form to
`Medicare Beneficiary Identifier'.
Remove box 6 on righthand side of form `Social Security
Number' as it is a duplicate of box 4 `Beneficiary's Own Social
Security Number'.
In Question 4, change `Medicare number under which state
paid premium (if different from RRB Medicare claim number' to `Medicare
Beneficiary Identifier Number (MBI) in which state paid premium'.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Form No. Annual responses Time (minutes) Burden (hours)
----------------------------------------------------------------------------------------------------------------
RL-380-F............................................ 600 10 100
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Additional Information or Comments: Copies of the forms and
supporting documents can be obtained from Kennisha Money 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. 2023-26332 Filed 11-29-23; 8:45 am]
BILLING CODE 7905-01-P
