[Federal Register Volume 68, Number 249 (Tuesday, December 30, 2003)]
[Notices]
[Page 75293]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-32047]


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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: Application to Act as 
Representative Payee; OMB 3220-0052. Under section 12 of the Railroad 
Retirement Act, the Railroad Retirement Board (RRB) may pay benefits to 
a representative payee when an employee, spouse or survivor annuitant 
is incompetent or is a minor. A representative payee may be a court-
appointed guardian, a statutory conservator or an individual selected 
by the RRB. The procedures pertaining to the appointment and 
responsibilities of a representative payee are prescribed in 20 CFR 
266.
    The forms furnished by the RRB to apply for representative payee 
status, and for securing the information needed to support the 
application follow. RRB Form AA-5, Application for Substitution of 
Payee, obtains information needed to determine the selection of a 
representative payee who will serve in the best interest of the 
beneficiary. RRB Form G-478, Statement Regarding Patient's Capability 
to Manage Payments, obtains information about an annuitant's capability 
to manage payments. The form is completed by the annuitant's personal 
physician or by a medical officer, if the annuitant is in an 
institution. It is not required when a court has appointed an 
individual or institution to manage the annuitant's funds, or in the 
absence of such appointment, when the annuitant is a minor. The RRB 
also provides representative payees with a booklet at the time of their 
appointment. The booklet, RRB Form RB-5, Your Duties as Representative 
Payee-Representative Payee's Record, advises representative payees of 
their responsibilities under 20 CFR 266.9 and provides a means for the 
representative payee to maintain records pertaining to the receipt and 
use of RRB benefits. The booklet is provided for the representative 
payee's convenience. The RRB also concepts records that were kept by 
representative payee's as part of a common business practice.
    Completion is voluntary. One response is requested of each 
respondent. The RRB is proposing non-burden impacting formatting and 
editorial changes to Form AA-5. No changes are proposed for Form G-478 
or Booklet RB-5. The estimated completion time(s) is estimated at 17 
minutes for Form AA-5, 6 minutes for Form G-478 and 60 minutes for 
Booklet RB-5. The RRB estimates that approximately 3,000 Form AA-5's, 
2,000 Form G-478's and 15,300 RB-5's are completed annually.
    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 or send an e-mail request to [email protected]. 
Comments regarding the information collection should be addressed to 
Ronald J. Hodapp, Railroad Retirement Board, 844 North Rush Street, 
Chicago, Illinois 60611-2092 or send e-mail to [email protected]. 
Written comments should be received within 60 days of this notice.

Charles Mierzwa,
Clearance Officer.
[FR Doc. 03-32047 Filed 12-29-03; 8:45 am]
BILLING CODE 7905-01-M