[Federal Register Volume 64, Number 51 (Wednesday, March 17, 1999)]
[Notices]
[Pages 13241-13242]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-6493]


=======================================================================
-----------------------------------------------------------------------

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.

[[Page 13242]]

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 payment 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. No changes are 
proposed to Form AA-104.
Number of respondents: 35.
Estimated Completion Time: 10 minutes.
Estimated annual burden hours: 6.

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. 99-6493 Filed 3-16-99; 8:45 am]
BILLING CODE 7905-01-M