[Federal Register Volume 68, Number 73 (Wednesday, April 16, 2003)]
[Notices]
[Pages 18716-18717]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-9266]


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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 collecton 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 Medicare Payment; OMB 3220-0131

    Under section 7(d) of the Railroad Retirement Act, the RRB 
administers the Medicare program for persons covered by the railroad 
retirement system. The collection obtains the information needed by 
Palmetto GBA, the Medicare carrier for railroad retirement 
beneficiaries, to pay claims for payments under part B of the Medicare 
program. Authority for collecting the information is prescribed in 42 
CFR 424.32.
    The RRB currently utilizes Forms G-740S and CMS 1500 to secure the 
information necessary to pay Part B Medicare Claims. One reponse is 
completed for each claim. Completion is required to obtain a benefit. 
No changes are proposed to RRB Form G-740S or CMS Form 1500. The RRB 
estimates annual respondent burden associated with RRB Form G-740s as 
follows:
    Estimated number of responses: 100.
    Estimated completion time per response: 15 minutes.

[[Page 18717]]

    Estimated annual of burden hours: 25.
    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. Bush 
Street, Chicago, Illinois 60611-2092. Written comments should be 
received within 60 days of this notice.

Chuck Mierzwa,
Clearance Officer.
[FR Doc. 03-9266 Filed 4-15-03; 8:45 am]
BILLING CODE 7905-01-M