[Federal Register Volume 61, Number 162 (Tuesday, August 20, 1996)]
[Notices]
[Pages 43095-43096]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-21188]


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RAILROAD RETIREMENT BOARD


Proposed Data Collection Available for Public Comment and 
Recommendations

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: Statement of Authority 
to Act for Employee; OMB 3220-0034. Under Section 5(a) of the Railroad 
Unemployment Insurance Act (RUIA), claims for benefits are to be made 
in accordance with such regulations as the Railroad Retirement Board 
(RRB) shall prescribe. The provisions for claiming sickness benefits as 
provided by Section 2 of the RUIA are prescribed in 20 CFR 355.2. 
Included in these provisions is the RRB's acceptance of forms executed 
by someone else on behalf of an employee if the RRB is satisfied that 
the employee is sick or injured to the extent of being unable to sign 
forms.
    The RRB utilizes Form SI-10, Statement of Authority to Act for 
Employee, to provide the means for an individual to apply for authority 
to act on behalf of an incapacitated employee and also to obtain the 
information necessary to determine that the delegation should be made. 
Part I of the form is completed by the applicant for the authority and 
Part II is completed by the employee's doctor. One response is 
requested of each respondent. Completion is required to obtain 
benefits.
    The RRB proposes various minor editorial revisions to Form SI-10 
which include the insertion of language required by the Paperwork 
Reduction Act of 1995.
    The estimated annual respondent burden is as follows:

                  Estimate of Annual Respondent Burden                  
------------------------------------------------------------------------
                                               Annual     Time    Burden
                  Form no.                   responses   (min)    (hrs) 
------------------------------------------------------------------------
SI-10......................................        400        6       40
------------------------------------------------------------------------

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

[[Page 43096]]

should be received within 60 days of this notice.
Chuck Mierzwa,
Clearance Officer.
[FR Doc. 96-21188 Filed 8-19-96; 8:45 am]
BILLING CODE 7905-01-M