[Federal Register Volume 67, Number 149 (Friday, August 2, 2002)]
[Notices]
[Pages 50485-50486]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-19504]


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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: Request for Review of 
part B Medicare Claim; OMB 3220-0100. Under section 7(d) of the 
Railroad Retirement Act (RRA), the RRB administers the Medicare program 
for persons covered by the railroad retirement system.
    The RRB utilizes Forms G-790 and G-791 to provide railroad 
retirement beneficiaries who are claimants for part B Medicare benefits 
with the means for requesting Palmetto GBA, the RRB's current Medicare 
carrier, to review claims determinations or to hold hearings on the 
review determinations. Completion is required to obtain a benefit. One 
response is requested of each respondent.
    The RRB proposes non-burden impacting, editorial and formatting 
changes to G-790 and G-791 for clarification purposes. The carrier's 
name and address have been changed to reflect the new part B carrier. 
The RRB has deleted to reference to OMB from the Paperwork Reduction 
Act/Privacy Act notice as instructed by OMB staff. The completion time 
both the G-790 and G-791 is estimated at 15 minutes.

FOR FURTHER INFORMATION CONTACT: To request more information or to 
obtain a

[[Page 50486]]

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. Rust 
Street, Chicago, Illinois 60611-2092. Written comments should be 
received within 60 days of this notice.

Chuck Mierzwa,
Clearance Officer.
[FR Doc. 02-19504 Filed 8-1-02; 8:45 am]
BILLING CODE 7905-01-M