Agency Forms Submitted for OMB Review, Request for Comments, 3979-3983 [2025-00767]
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Federal Register / Vol. 90, No. 9 / Wednesday, January 15, 2025 / Notices
are available at www.prc.gov, Docket
Nos. MC2025–1043, K2025–1042.
POSTAL SERVICE
Product Change—Priority Mail
Express, Priority Mail, and USPS
Ground Advantage® Negotiated
Service Agreement
Sean Robinson,
Attorney, Corporate and Postal Business Law.
[FR Doc. 2025–00803 Filed 1–14–25; 8:45 am]
BILLING CODE 7710–12–P
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: January
15, 2025.
FOR FURTHER INFORMATION CONTACT:
Sean C. 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 January 6, 2025,
it filed with the Postal Regulatory
Commission a USPS Request to Add
Priority Mail Express, Priority Mail &
USPS Ground Advantage® Contract
1242 to Competitive Product List.
Documents are available at
www.prc.gov, Docket Nos. MC2025–
1057, K2025–1056.
SUMMARY:
Sean C. Robinson,
Attorney, Corporate and Postal Business Law.
[FR Doc. 2025–00801 Filed 1–14–25; 8:45 am]
BILLING CODE 7710–12–P
POSTAL SERVICE
Product Change—Priority Mail and
USPS Ground Advantage® 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: January
15, 2025.
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 January 6, 2025,
it filed with the Postal Regulatory
Commission a USPS Request to Add
Priority Mail & USPS Ground
Advantage® Contract 583 to
Competitive Product List. Documents
lotter on DSK11XQN23PROD with NOTICES1
18:37 Jan 14, 2025
Product Change—Priority Mail
Express, Priority Mail, and USPS
Ground Advantage® Negotiated
Service Agreement
Jkt 265001
The
United States Postal Service® hereby
gives notice that, pursuant to 39 U.S.C.
3642 and 3632(b)(3), on January 6, 2025,
it filed with the Postal Regulatory
Commission a USPS Request to Add
Priority Mail Express, Priority Mail &
USPS Ground Advantage® Contract
1236 to Competitive Product List.
Documents are available at
www.prc.gov, Docket Nos. MC2025–
1053, K2025–1052.
SUPPLEMENTARY INFORMATION:
Sean C. Robinson,
Attorney, Corporate and Postal Business Law.
AGENCY:
[FR Doc. 2025–00795 Filed 1–14–25; 8:45 am]
ACTION:
BILLING CODE 7710–12–P
Postal ServiceTM.
Notice.
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: January
15, 2025.
FOR FURTHER INFORMATION CONTACT:
Sean C. 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 January 6, 2025,
it filed with the Postal Regulatory
Commission a USPS Request to Add
Priority Mail Express, Priority Mail &
USPS Ground Advantage® Contract
1243 to Competitive Product List.
Documents are available at
www.prc.gov, Docket Nos. MC2025–
1058, K2025–1057.
SUMMARY:
Sean C. Robinson,
Attorney, Corporate and Postal Business Law.
[FR Doc. 2025–00802 Filed 1–14–25; 8:45 am]
BILLING CODE 7710–12–P
SUMMARY:
VerDate Sep<11>2014
POSTAL SERVICE
3979
POSTAL SERVICE
Product Change—Priority Mail
Express, Priority Mail, and USPS
Ground Advantage® Negotiated
Service Agreement
POSTAL SERVICE
Product Change—Priority Mail
Express, Priority Mail, and USPS
Ground Advantage® Negotiated
Service Agreement
Postal ServiceTM.
Notice.
AGENCY:
ACTION:
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: January
15, 2025.
FOR FURTHER INFORMATION CONTACT:
Sean C. 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 January 6, 2025,
it filed with the Postal Regulatory
Commission a USPS Request to Add
Priority Mail Express, Priority Mail &
USPS Ground Advantage® Contract
1230 to Competitive Product List.
Documents are available at
www.prc.gov, Docket Nos. MC2025–
1047, K2025–1046.
SUMMARY:
Sean C. Robinson,
Attorney, Corporate and Postal Business Law.
[FR Doc. 2025–00789 Filed 1–14–25; 8:45 am]
Postal ServiceTM.
ACTION: Notice.
AGENCY:
BILLING CODE 7710–12–P
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: January
15, 2025.
FOR FURTHER INFORMATION CONTACT:
Sean C. Robinson, 202–268–8405.
SUMMARY:
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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
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Federal Register / Vol. 90, No. 9 / Wednesday, January 15, 2025 / Notices
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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.
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 (89 FR 88826 on
November 8, 2024) 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 No.: 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, Form AA–1
(internet), Form AA–1cert, AA–1sum
and Form G–204. The RRB proposes the
following changes to Form AA–1d:
• Section 1, General Instructions, the
date is being updated to 06/06/24,
• Section 6, Information About Your
Daily Activities, add ‘‘Sleeping’’ to the
activity list for question 34,
• Section 6, Information about Your
Daily Activities, add a question 35b,
‘‘Describe and explain if your condition
affects your memory, concentration, or
ability to understand and follow
instructions. (Include when this change
began.)’’,
• Section 7, Information About You
Work and Earnings, question 43, update
to 12–2024 in example,
• Section 11, Certification, question
63, remove the word ‘‘criminal’’ from
the sentence to read ‘‘I know that if I am
receiving a disability annuity and fail to
report work and earnings promptly, I am
committing a crime punishable by
Federal law that may result in
prosecution and/or penalty deductions
in my annuity payments’’,
• Corrected the abbreviation word
‘‘Cont.’’ to ‘‘Continued’’ throughout
form, and
• Correct grammar, spacing, heading
and other issues within the form for
consistency.
The burden estimate for the ICR is as
follows:
Annual
responses
Form No.
AA–1 (without assistance) ...........................................................................................................
AA–1cert (with assistance) ..........................................................................................................
AA–1sum (with assistance) .........................................................................................................
AA–1 (Internet) (without assistance) ...........................................................................................
AA–1d (with assistance) ..............................................................................................................
VerDate Sep<11>2014
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E:\FR\FM\15JAN1.SGM
30
5,425
2,750
0
2,600
15JAN1
Time
(minutes)
Burden
(hours)
62
30
29
45
60
31
2,712
1,329
0
2,817
3981
Federal Register / Vol. 90, No. 9 / Wednesday, January 15, 2025 / Notices
Annual
responses
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Form No.
Time
(minutes)
Burden
(hours)
AA–1d (without assistance) .........................................................................................................
G–204 ..........................................................................................................................................
5
20
90
15
8
5
Total ......................................................................................................................................
10,830
........................
6,902
2. Title and purpose of information
collection: Application for Survivor
Insurance Annuities; OMB 3220–0030.
Under section 2(d) of the Railroad
Retirement Act (RRA) (45 U.S.C. 231a),
monthly survivor annuities are payable
to surviving widow(er)s, parents,
unmarried children, and in certain
cases, divorced spouses, mothers
(fathers), remarried widow(er)s, and
grandchildren of deceased railroad
employees if there are no qualified
survivors of the employee immediately
eligible for an annuity. The
requirements relating to the annuities
are prescribed in 20 CFR 216, 217, 218,
and 219.
To collect the information needed to
help determine an applicant’s
entitlement to, and the amount of, a
survivor annuity the RRB uses Forms
AA–17, Application for Widow(er)’s
Annuity; AA–17b, Applications for
Determination of Widow(er)’s Disability;
AA–18, Application for Mother’s/
Father’s and Child’s Annuity; AA–19,
Application for Child’s Annuity; AA–
19a, Application for Determination of
Child’s Disability; AA–20, Application
for Parent’s Annuity, and electronic
Forms AA–17cert, Application
Summary and Certification and AA–
17sum, Application Summary.
The on-line automated survivor
annuity application (Forms AA–17,
AA–18, AA–19, and AA–20) process
obtains information about an applicant’s
marital history, work history, benefits
from other government agencies, and
Medicare entitlement for a survivor
annuity. An RRB representative
interviews the applicant either at a field
office (preferred), an itinerant point, or
by telephone. During the interview, the
RRB representative enters the
information obtained into an on-line
information system. Upon completion of
the interview, the system generates, for
the applicant’s review, either Form AA–
17cert or AA–17sum, which provides a
summary of the information that the
applicant provided or verified. Form
AA–17cert, Application Summary and
Certification, requires a tradition pen
and ink ‘‘wet’’ signature. Form AA–
17sum, Application Summary,
documents the alternate signing method
called ‘‘Attestation,’’ which is an action
taken by the RRB representative to
confirm and annotate in the RRB
VerDate Sep<11>2014
18:37 Jan 14, 2025
Jkt 265001
records (1) the applicant’s intent to file
an application; (2) the applicant’s
affirmation under penalty of perjury that
the information provided is correct; and
(3) the applicant’s agreement to sign the
application by proxy. When the RRB
representative is unable to contact the
applicant in person or by telephone, for
example, the applicant lives in another
country, a manual version of the
appropriate form is used. One response
is requested of each respondent.
Completion of the forms is required to
obtain a benefit.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (89 FR 88827 on
November 8, 2024) required by 44
U.S.C. 3506(c)(2). That request elicited
no comments.
Information Collection Request (ICR)
Title: Application for Survivor
Insurance Annuities.
OMB Control No.: 3220–0030.
Form(s) submitted: AA–17b, AA–
17cert, AA–17sum, and AA–19a.
Type of request: Extension without
change of a currently approved
collection.
Affected public: Individuals or
Households.
Abstract: Under Section 2(d) of the
Railroad Retirement Act, monthly
survivor annuities are payable to
surviving widow(er)s, parents,
unmarried children, and in certain
cases, divorced wives (husbands),
mothers (fathers), remarried widow(er)s
and grandchildren of deceased railroad
employees. The collection obtains
information needed by the RRB to
determine entitlement to and the
amount of the annuity applied for.
Changes proposed: The RRB proposes
no changes to forms AA–17cert.
The RRB proposes the following
changes to Form AA–17b:
• Section 1, General Instructions, the
date is being updated to 12/13/24,
• Section 6, Information About Your
Daily Activities, remove the word
‘‘even’’ from question 33 in sentence
‘‘NOT AT ALL—I cannot do the activity
even with or without assistance’’,
• Section 6, Information About Your
Daily Activities, add ‘‘Sleeping’’ to the
activity list for question 33,
• Section 6, Information About Your
Daily Activities, rename question 34 to
be question 34a,
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• Section 6, Information about Your
Daily Activities, add a question 34b,
‘‘Describe and explain if your condition
affects your memory, concentration, or
ability to understand and follow
instructions. (Include when this change
began.)’’,
• Section 7, Information About You
Work and Earnings, question 46, update
to 12–2024 in example,
• Section 10, Certification, question
65, remove the word ‘‘criminal’’ from
the sentence to read ‘‘I know that if I am
receiving a disability annuity and fail to
report work and earnings promptly, I am
committing a crime punishable by
Federal law that may result in
prosecution and/or penalty deductions
in my annuity payments’’, and
• Correct grammar, spacing, and
heading issues within the form for
consistency
The RRB proposes the following
changes to Form AA–19a:
• Section 1, General Instructions, the
date is being updated to 12/13/24
• Section 5, Information About Your
Daily Activities, remove the word
‘‘even’’ from question 28 in sentence
‘‘NOT AT ALL—I cannot do the activity
even with or without assistance’’,
• Section 5, Information About The
Child’s Daily Activities, add ‘‘Sleeping’’
to the activity list for question 28.
• Section 5, Information About The
Child’s Daily Activities, rename
question 29 to be question 29a.
• Section 5, Information about Your
Daily Activities, add a question 29b,
‘‘Describe and explain if your condition
affects your memory, concentration, or
ability to understand and follow
instructions. (Include when this change
began.)’’
• Section 7, Information About You
Work and Earnings, question 74, update
to 12–2024 in example.
• Section 10, Certification, question
99, remove the word ‘‘criminal’’ from
the sentence to read ‘‘I know that if I am
receiving a disability annuity and fail to
report work and earnings promptly, I am
committing a crime punishable by
Federal law that may result in
prosecution and/or penalty deductions
in my annuity payments’’, and
• Correct grammar, spacing, and
heading issues within the form for
consistency.
The RRB proposes minor changes to
the Form AA–17sum:
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Federal Register / Vol. 90, No. 9 / Wednesday, January 15, 2025 / Notices
• Update the outdated office hours
with a link to the RRB website and the
toll-free number, and
• Remove the date that the applicant
would be notified of a decision in the
application process.
The burden estimate for the ICR is as
follows:
Annual
responses
Form No.
AA–17 Application Process:
AA–17cert .............................................................................................................................
AA–17sum ............................................................................................................................
AA–17b:
(With assistance) ..................................................................................................................
(Without assistance) .............................................................................................................
AA–19a:
(With assistance) ..................................................................................................................
(Without assistance) .............................................................................................................
Total ...............................................................................................................................
3. Title and purpose of information
collection: Continuing Disability Report;
OMB 3220–0187. Under section 2 of the
Railroad Retirement Act (45 U.S.C.
231a), an annuity is not payable or is
reduced for any month in which the
annuitant works for a railroad or earns
more than prescribed dollar amounts
from either non-railroad employment or
self-employment. Certain types of work
may indicate an annuitant’s recovery
from disability. The provisions relating
to the reduction or non-payment of an
annuity by reason of work, and an
annuitant’s recovery from disability for
work, are prescribed in 20 CFR 220.17–
220.20. The RRB conducts continuing
disability reviews (CDR) to determine
whether an annuitant continues to meet
the disability requirements of the law.
Provisions relating to when and how
often the RRB conducts CDR’s are
prescribed in 20 CFR 220.186.
Form G–254, Continuing Disability
Report, is used by the RRB to develop
information for a CDR determination,
including a determination prompted by
a report of work, return to railroad
service, allegation of medical
improvement, or a routine disability
review call-up. Form G–254a,
Continuing Disability Update Report, is
used to help identify a disability
annuitant whose work activity and/or
recent medical history warrants
completion of Form G–254 for a more
extensive review.
Completion is required to retain a
benefit. One response is requested of
each respondent to Forms G–254 and G–
254a.
Previous Requests for Comments: The
RRB has already published the initial
60-day notice (89 FR 88828 on
November 8, 2024) required by 44
U.S.C. 3506(c)(2). That request elicited
no comments.
Information Collection Request (ICR)
Title: Continuing Disability Report.
OMB Control No.: 3220–0187.
Forms submitted: G–254, G–254a, and
RL–8a.
Type of request: Revision of a
currently approved collection.
Affected public: Individuals or
Households.
Abstract: Under the Railroad
Retirement Act, a disability annuity can
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Burden
(hours)
900
2,100
20
19
300
665
175
20
50
60
146
18
200
15
50
70
167
18
3,410
........................
1,314
be reduced or not paid, depending on
the amount of earnings and type of work
performed. The collection obtains
information about a disabled annuitant’s
employment and earnings.
Changes proposed: The RRB proposes
the following changes to Form G–254:
• Section 5, Information about Your
Condition before Full Retirement Age,
remove the word ‘‘even’’ from question
31a in sentence ‘‘NOT AT ALL—I
cannot do the activity even with or
without assistance’’,
• Section 5, Information about Your
Condition before Full Retirement Age,
add ‘‘Sleeping’’ to the activity list for
question 31a,
• Section 5, Information about Your
Condition before Full Retirement Age,
add a question 31e, ‘‘Describe and
explain if your condition affects your
memory, concentration, or ability to
understand and follow instructions.
(Include when this change began.)’’, and
• Correct grammar, spacing, and
heading issues within the form for
consistency.
The burden estimate for the ICR is as
follows:
Annual
responses
Form No.
Time
(minutes)
Time
(minutes)
Burden
(hours)
G–254:
Annuitant ...............................................................................................................................
Employer verification ............................................................................................................
Doctor, hospital, or clinic verification ....................................................................................
Vocational, Rehabilitation Counselor verification) ................................................................
Other governmental agency verification ...............................................................................
School verification ................................................................................................................
G–254a ........................................................................................................................................
900
100
100
100
100
100
1350
40
5
5
5
5
5
5
600
8
8
8
8
8
113
Total ...............................................................................................................................
2750
........................
753
Additional Information or Comments:
Copies of the forms and supporting
documents or comments regarding the
information collection should be
addressed to Brian Foster, Railroad
VerDate Sep<11>2014
18:37 Jan 14, 2025
Jkt 265001
Retirement Board, 844 North Rush
Street, Chicago, Illinois 60611–1275 or
emailed to Brian.Foster@rrb.gov.
Written comments and
recommendations for the proposed
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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
E:\FR\FM\15JAN1.SGM
15JAN1
Federal Register / Vol. 90, No. 9 / Wednesday, January 15, 2025 / Notices
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function.
Brian Foster,
Clearance Officer.
[FR Doc. 2025–00767 Filed 1–14–25; 8:45 am]
BILLING CODE 7905–01–P
SECURITIES AND EXCHANGE
COMMISSION
[SEC File No. 270–101, OMB Control No.
3235–0082]
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Proposed Collection; Comment
Request; Extension: Form 11–K
Upon Written Request Copies Available
From: Securities and Exchange
Commission, Office of FOIA Services,
100 F Street NE, Washington, DC
20549–2736.
Notice is hereby given that, pursuant
to the Paperwork Reduction Act of 1995
(44 U.S.C. 3501 et seq.), the Securities
and Exchange Commission
(‘‘Commission’’) is soliciting comments
on the collection of information
summarized below. The Commission
plans to submit this existing collection
of information to the Office of
Management and Budget for extension
and approval.
Form 11–K (17 CFR 249.311) is the
annual report designed for use by
employee stock purchase, savings, and
similar plans to comply with the
reporting requirements under Section
15(d) of the Securities and Exchange Act
of 1934 (the ‘‘Exchange Act’’) (15 U.S.C.
78o(d)). Section 15(d) establishes a
periodic reporting obligation for every
issuer of a class of securities registered
under the Securities Act of 1933 (the
‘‘Securities Act’’) (15 U.S.C. 77a et seq.).
Form 11–K provides employees of an
issuer with financial information so that
they can assess the performance of the
investment vehicle or stock plan. We
estimate that Form 11–K requires
approximately internal 95.81 burden
hours per response and that there is an
average of approximately 941 Form 11–
K filings annually for a total of 90,157
internal burden hours annually (95.81
hours per response × 941 responses). We
also estimate that Form 11–K requires a
cost of approximately $7,525 per
response for a total annual cost burden
of $7,081,025 ($7,525 per response ×
941 responses).
Written comments are invited on: (a)
whether this proposed collection of
information is necessary for the proper
performance of the functions of the
agency, including whether the
information will have practical utility;
(b) the accuracy of the agency’s estimate
VerDate Sep<11>2014
18:37 Jan 14, 2025
Jkt 265001
of the burden imposed by the collection
of information; (c) ways to enhance the
quality, utility, and clarity of the
information collected; and (d) ways to
minimize the burden of the collection of
information on respondents, including
through the use of automated collection
techniques or other forms of information
technology. Consideration will be given
to comments and suggestions submitted
in writing within 60 days of this
publication by March 17, 2025.
An agency may not conduct or
sponsor, and a person is not required to
respond to, a collection of information
unless it displays a currently valid
control number.
Please direct your written comment to
Austin Gerig, Director/Chief Data
Officer, Securities and Exchange
Commission, c/o Tanya Ruttenberg, 100
F Street NE, Washington, DC 20549 or
send an email to: PRA_Mailbox@
sec.gov.
Dated: January 8, 2025.
Vanessa A. Countryman,
Secretary.
[FR Doc. 2025–00665 Filed 1–14–25; 8:45 am]
BILLING CODE 8011–01–P
SECURITIES AND EXCHANGE
COMMISSION
[SEC File No. 270–335, OMB Control No.
3235–0381]
Proposed Collection; Comment
Request; Extension: Form 40–F
Upon Written Request Copies Available
From: Securities and Exchange
Commission, Office of FOIA Services,
100 F Street NE, Washington, DC
20549–2736.
Notice is hereby given that, pursuant
to the Paperwork Reduction Act of 1995
(44 U.S.C. 3501 et seq.), the Securities
and Exchange Commission
(‘‘Commission’’) is soliciting comments
on the collection of information
summarized below. The Commission
plans to submit this existing collection
of information to the Office of
Management and Budget for extension
and approval.
Form 40–F (17 CFR 249.240f) is used
by certain Canadian issuers to register a
class of securities under Section 12 of
the Securities Exchange Act of 1934
(‘‘Exchange Act’’) (15 U.S.C. 78l) or as
an annual report pursuant to Section
13(a) or 15 (d) of the Exchange Act (15
U.S.C. 78m(a) or 78o(d)). The
information required in the Form 40–F
is used by investors in making
investment decisions with respect to the
securities of such Canadian companies.
We estimate that Form 40–F takes
PO 00000
Frm 00197
Fmt 4703
Sfmt 4703
3983
approximately 431.42 hours per
response and that there is an average of
approximately 175 responses annually.
We estimate that 25% of the 431.42
hours per response is prepared by the
issuer for an internal burden of 18,875
hours ((0.25 × 431.42) hours per
response × 175 responses).
Written comments are invited on: (a)
whether this proposed collection of
information is necessary for the proper
performance of the functions of the
agency, including whether the
information will have practical utility;
(b) the accuracy of the agency’s estimate
of the burden imposed by the collection
of information; (c) ways to enhance the
quality, utility, and clarity of the
information collected; and (d) ways to
minimize the burden of the collection of
information on respondents, including
through the use of automated collection
techniques or other forms of information
technology. Consideration will be given
to comments and suggestions submitted
in writing within 60 days of this
publication by March 17, 2025.
An agency may not conduct or
sponsor, and a person is not required to
respond to, a collection of information
unless it displays a currently valid
control number.
Please direct your written comment to
Austin Gerig, Director/Chief Data
Officer, Securities and Exchange
Commission, c/o Tanya Ruttenberg, 100
F Street NE, Washington, DC 20549 or
send an e-mail to: PRA_Mailbox@
sec.gov.
Dated: January 8, 2025.
Vanessa A. Countryman,
Secretary.
[FR Doc. 2025–00680 Filed 1–14–25; 8:45 am]
BILLING CODE 8011–01–P
SECURITIES AND EXCHANGE
COMMISSION
[SEC File No. 270–489, OMB Control No.
3235–0541]
Submission for OMB Review;
Comment Request; Extension: Rule
606 of Regulation NMS
Upon Written Request, Copies Available
From: Securities and Exchange
Commission, Office of FOIA Services,
100 F Street NE, Washington, DC
20549–2736
Notice is hereby given that, pursuant
to the Paperwork Reduction Act of 1995
(44 U.S.C. 3501 et seq.) (‘‘PRA’’), the
Securities and Exchange Commission
(‘‘Commission’’) has submitted to the
Office of Management and Budget
(‘‘OMB’’) a request for approval of
extension on the previously approved
E:\FR\FM\15JAN1.SGM
15JAN1
]]>Agencies
[Federal Register Volume 90, Number 9 (Wednesday, January 15, 2025)]
[Notices]
[Pages 3979-3983]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-00767]
=======================================================================
-----------------------------------------------------------------------
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
[[Page 3980]]
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.
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 (89 FR 88826 on November 8, 2024) 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 No.: 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, Form
AA-1 (internet), Form AA-1cert, AA-1sum and Form G-204. The RRB
proposes the following changes to Form AA-1d:
Section 1, General Instructions, the date is being updated
to 06/06/24,
Section 6, Information About Your Daily Activities, add
``Sleeping'' to the activity list for question 34,
Section 6, Information about Your Daily Activities, add a
question 35b, ``Describe and explain if your condition affects your
memory, concentration, or ability to understand and follow
instructions. (Include when this change began.)'',
Section 7, Information About You Work and Earnings,
question 43, update to 12-2024 in example,
Section 11, Certification, question 63, remove the word
``criminal'' from the sentence to read ``I know that if I am receiving
a disability annuity and fail to report work and earnings promptly, I
am committing a crime punishable by Federal law that may result in
prosecution and/or penalty deductions in my annuity payments'',
Corrected the abbreviation word ``Cont.'' to ``Continued''
throughout form, and
Correct grammar, spacing, heading and other issues within
the form for consistency.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual Time Burden
Form No. responses (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
AA-1 (without assistance)....................................... 30 62 31
AA-1cert (with assistance)...................................... 5,425 30 2,712
AA-1sum (with assistance)....................................... 2,750 29 1,329
AA-1 (Internet) (without assistance)............................ 0 45 0
AA-1d (with assistance)......................................... 2,600 60 2,817
[[Page 3981]]
AA-1d (without assistance)...................................... 5 90 8
G-204........................................................... 20 15 5
-----------------------------------------------
Total....................................................... 10,830 .............. 6,902
----------------------------------------------------------------------------------------------------------------
2. Title and purpose of information collection: Application for
Survivor Insurance Annuities; OMB 3220-0030.
Under section 2(d) of the Railroad Retirement Act (RRA) (45 U.S.C.
231a), monthly survivor annuities are payable to surviving widow(er)s,
parents, unmarried children, and in certain cases, divorced spouses,
mothers (fathers), remarried widow(er)s, and grandchildren of deceased
railroad employees if there are no qualified survivors of the employee
immediately eligible for an annuity. The requirements relating to the
annuities are prescribed in 20 CFR 216, 217, 218, and 219.
To collect the information needed to help determine an applicant's
entitlement to, and the amount of, a survivor annuity the RRB uses
Forms AA-17, Application for Widow(er)'s Annuity; AA-17b, Applications
for Determination of Widow(er)'s Disability; AA-18, Application for
Mother's/Father's and Child's Annuity; AA-19, Application for Child's
Annuity; AA-19a, Application for Determination of Child's Disability;
AA-20, Application for Parent's Annuity, and electronic Forms AA-
17cert, Application Summary and Certification and AA-17sum, Application
Summary.
The on-line automated survivor annuity application (Forms AA-17,
AA-18, AA-19, and AA-20) process obtains information about an
applicant's marital history, work history, benefits from other
government agencies, and Medicare entitlement for a survivor annuity.
An RRB representative interviews the applicant either at a field office
(preferred), an itinerant point, or by telephone. During the interview,
the RRB representative enters the information obtained into an on-line
information system. Upon completion of the interview, the system
generates, for the applicant's review, either Form AA-17cert or AA-
17sum, which provides a summary of the information that the applicant
provided or verified. Form AA-17cert, Application Summary and
Certification, requires a tradition pen and ink ``wet'' signature. Form
AA-17sum, Application Summary, documents the alternate signing method
called ``Attestation,'' which is an action taken by the RRB
representative to confirm and annotate in the RRB records (1) the
applicant's intent to file an application; (2) the applicant's
affirmation under penalty of perjury that the information provided is
correct; and (3) the applicant's agreement to sign the application by
proxy. When the RRB representative is unable to contact the applicant
in person or by telephone, for example, the applicant lives in another
country, a manual version of the appropriate form is used. One response
is requested of each respondent. Completion of the forms is required to
obtain a benefit.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (89 FR 88827 on November 8, 2024) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Application for Survivor Insurance Annuities.
OMB Control No.: 3220-0030.
Form(s) submitted: AA-17b, AA-17cert, AA-17sum, and AA-19a.
Type of request: Extension without change of a currently approved
collection.
Affected public: Individuals or Households.
Abstract: Under Section 2(d) of the Railroad Retirement Act,
monthly survivor annuities are payable to surviving widow(er)s,
parents, unmarried children, and in certain cases, divorced wives
(husbands), mothers (fathers), remarried widow(er)s and grandchildren
of deceased railroad employees. The collection obtains information
needed by the RRB to determine entitlement to and the amount of the
annuity applied for.
Changes proposed: The RRB proposes no changes to forms AA-17cert.
The RRB proposes the following changes to Form AA-17b:
Section 1, General Instructions, the date is being updated
to 12/13/24,
Section 6, Information About Your Daily Activities, remove
the word ``even'' from question 33 in sentence ``NOT AT ALL--I cannot
do the activity even with or without assistance'',
Section 6, Information About Your Daily Activities, add
``Sleeping'' to the activity list for question 33,
Section 6, Information About Your Daily Activities, rename
question 34 to be question 34a,
Section 6, Information about Your Daily Activities, add a
question 34b, ``Describe and explain if your condition affects your
memory, concentration, or ability to understand and follow
instructions. (Include when this change began.)'',
Section 7, Information About You Work and Earnings,
question 46, update to 12-2024 in example,
Section 10, Certification, question 65, remove the word
``criminal'' from the sentence to read ``I know that if I am receiving
a disability annuity and fail to report work and earnings promptly, I
am committing a crime punishable by Federal law that may result in
prosecution and/or penalty deductions in my annuity payments'', and
Correct grammar, spacing, and heading issues within the
form for consistency
The RRB proposes the following changes to Form AA-19a:
Section 1, General Instructions, the date is being updated
to 12/13/24
Section 5, Information About Your Daily Activities, remove
the word ``even'' from question 28 in sentence ``NOT AT ALL--I cannot
do the activity even with or without assistance'',
Section 5, Information About The Child's Daily Activities,
add ``Sleeping'' to the activity list for question 28.
Section 5, Information About The Child's Daily Activities,
rename question 29 to be question 29a.
Section 5, Information about Your Daily Activities, add a
question 29b, ``Describe and explain if your condition affects your
memory, concentration, or ability to understand and follow
instructions. (Include when this change began.)''
Section 7, Information About You Work and Earnings,
question 74, update to 12-2024 in example.
Section 10, Certification, question 99, remove the word
``criminal'' from the sentence to read ``I know that if I am receiving
a disability annuity and fail to report work and earnings promptly, I
am committing a crime punishable by Federal law that may result in
prosecution and/or penalty deductions in my annuity payments'', and
Correct grammar, spacing, and heading issues within the
form for consistency.
The RRB proposes minor changes to the Form AA-17sum:
[[Page 3982]]
Update the outdated office hours with a link to the RRB
website and the toll-free number, and
Remove the date that the applicant would be notified of a
decision in the application process.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual Time Burden
Form No. responses (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
AA-17 Application Process:
AA-17cert................................................... 900 20 300
AA-17sum.................................................... 2,100 19 665
AA-17b:
(With assistance)........................................... 175 50 146
(Without assistance)........................................ 20 60 18
AA-19a:
(With assistance)........................................... 200 50 167
(Without assistance)........................................ 15 70 18
-----------------------------------------------
Total................................................... 3,410 .............. 1,314
----------------------------------------------------------------------------------------------------------------
3. Title and purpose of information collection: Continuing
Disability Report; OMB 3220-0187. Under section 2 of the Railroad
Retirement Act (45 U.S.C. 231a), an annuity is not payable or is
reduced for any month in which the annuitant works for a railroad or
earns more than prescribed dollar amounts from either non-railroad
employment or self-employment. Certain types of work may indicate an
annuitant's recovery from disability. The provisions relating to the
reduction or non-payment of an annuity by reason of work, and an
annuitant's recovery from disability for work, are prescribed in 20 CFR
220.17-220.20. The RRB conducts continuing disability reviews (CDR) to
determine whether an annuitant continues to meet the disability
requirements of the law. Provisions relating to when and how often the
RRB conducts CDR's are prescribed in 20 CFR 220.186.
Form G-254, Continuing Disability Report, is used by the RRB to
develop information for a CDR determination, including a determination
prompted by a report of work, return to railroad service, allegation of
medical improvement, or a routine disability review call-up. Form G-
254a, Continuing Disability Update Report, is used to help identify a
disability annuitant whose work activity and/or recent medical history
warrants completion of Form G-254 for a more extensive review.
Completion is required to retain a benefit. One response is
requested of each respondent to Forms G-254 and G-254a.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (89 FR 88828 on November 8, 2024) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Continuing Disability Report.
OMB Control No.: 3220-0187.
Forms submitted: G-254, G-254a, and RL-8a.
Type of request: Revision of a currently approved collection.
Affected public: Individuals or Households.
Abstract: Under the Railroad Retirement Act, a disability annuity
can be reduced or not paid, depending on the amount of earnings and
type of work performed. The collection obtains information about a
disabled annuitant's employment and earnings.
Changes proposed: The RRB proposes the following changes to Form G-
254:
Section 5, Information about Your Condition before Full
Retirement Age, remove the word ``even'' from question 31a in sentence
``NOT AT ALL--I cannot do the activity even with or without
assistance'',
Section 5, Information about Your Condition before Full
Retirement Age, add ``Sleeping'' to the activity list for question 31a,
Section 5, Information about Your Condition before Full
Retirement Age, add a question 31e, ``Describe and explain if your
condition affects your memory, concentration, or ability to understand
and follow instructions. (Include when this change began.)'', and
Correct grammar, spacing, and heading issues within the
form for consistency.
The burden estimate for the ICR is as follows:
----------------------------------------------------------------------------------------------------------------
Annual Time Burden
Form No. responses (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
G-254:
Annuitant................................................... 900 40 600
Employer verification....................................... 100 5 8
Doctor, hospital, or clinic verification.................... 100 5 8
Vocational, Rehabilitation Counselor verification).......... 100 5 8
Other governmental agency verification...................... 100 5 8
School verification......................................... 100 5 8
G-254a.......................................................... 1350 5 113
-----------------------------------------------
Total................................................... 2750 .............. 753
----------------------------------------------------------------------------------------------------------------
Additional Information or Comments: Copies of the forms and
supporting documents or comments regarding the information collection
should be addressed to Brian Foster, Railroad Retirement Board, 844
North Rush Street, Chicago, Illinois 60611-1275 or emailed to
[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
[[Page 3983]]
``Currently under 30-day Review--Open for Public Comments'' or by using
the search function.
Brian Foster,
Clearance Officer.
[FR Doc. 2025-00767 Filed 1-14-25; 8:45 am]
BILLING CODE 7905-01-P
