[Federal Register Volume 61, Number 52 (Friday, March 15, 1996)]
[Notices]
[Pages 10825-10826]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-6169]



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[[Page 10826]]


RAILROAD RETIREMENT BOARD


Proposed Collection; Comment Request

SUMMARY: In accordance with the requirement of Section 3506(c)(2)(A) of 
the Paperwork Reduction Act of 1995 which provides opportunity for 
public comment on new or revised data collections, the Railroad 
Retirement Board (RRB) will publish periodic summaries of proposed data 
collections.
    Comments are invited on: (a) Whether the proposed information 
collection is necessary for the proper performance of the functions of 
the agency, including whether the information has practical utility; 
(b) the accuracy of the RRB's estimate of the burden of the collection 
of the information; (c) ways to enhance the quality, utility, and 
clarity of the information to be collected; and (d) ways to minimize 
the burden related to the collection of information on respondents, 
including the use of automated collection techniques or other forms of 
information technology.
    Title and Purpose of information collection:
    Application for Reimbursement for Hospital Insurance Services in 
Canada; OMB 3220-0086.
    Under Section 7(d) of the Railroad Retirement Act (RRA), the RRB 
administers the Medicare program for persons covered by the railroad 
retirement system. Payments are provided, under Section 7(d)(4) of the 
RRA, for medical services furnished in Canada to the same extent as for 
those furnished in the United States. However, payments for the 
services furnished in Canada are made from the Railroad Retirement 
Account rather than from the Federal Hospital Insurance Trust Fund, 
with the payments limited to the amount by which insurance benefits 
under Medicare exceed the amounts payable under Canadian Provincial 
plans.
    Form AA-104, Application for Canadian Hospital Benefits Under 
Medicare--Part A, is provided by the RRB for use in claiming benefits 
for covered hospital services received in Canada. The form obtains 
information needed to determine eligibility for, and the amount of any 
reimbursement due the applicant. One response is requested of each 
respondent. Completion is required to obtain a benefit.
    The RRB proposes minor editorial changes to RRB Form AA-104.

Estimate of Annual Respondent Burden

    The estimated annual respondent burden is as follows:

------------------------------------------------------------------------
                                      Annual                    Burden  
           Form No.(s)              responses   Time (min.)     (hrs.)  
------------------------------------------------------------------------
AA-104...........................           45           10            8
------------------------------------------------------------------------

ADDITIONAL INFORMATION OR COMMENTS: To request more information or to 
obtain a copy of the information collection justification, forms, and/
or supporting material, please call the RRB Clearance Officer at (312) 
751-3363. Comments regarding the information collection should be 
addressed to Ronald J. Hodapp, Railroad Retirement Board, 844 N. Rush 
Street, Chicago, Illinois 60611-2092. Written comments should be 
received within 60 days of this notice.
Chuck Mierzwa,
Clearance Officer.
[FR Doc. 96-6169 Filed 3-14-96; 8:45 am]
BILLING CODE 7905-01-M