[Federal Register Volume 69, Number 169 (Wednesday, September 1, 2004)]
[Notices]
[Page 53473]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-19882]


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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: Report of Medicaid 
State Office on Beneficiary's Buy-In Status; OMB 3220-0185. Under 
Section 7(d) of the Railroad Retirement Act, the RRB administers the 
Medicare program for persons covered by the railroad retirement system. 
Under Section 1843 of the Social Security Act, states may enter into 
``buy-in agreements'' with the Secretary of Health and Human Services 
for the purpose of enrolling certain groups of needy people under the 
Medicare medical insurance (Part B) program and paying the premiums for 
their insurance coverage. Generally, these individuals are 
categorically needy under Medicaid and meet the eligibility 
requirements for Medicare Part B. States can also include in their buy-
in agreements, individuals who are eligible for medical assistance 
only. The RRB uses Form RL-380-F, Report to State Medicaid Office, to 
obtain information needed to determine if certain railroad 
beneficiaries are entitled to receive Supplementary Medical Insurance 
program coverage under a state buy-in agreement in states in which they 
reside. Completion of Form RL-380-F is voluntary. One response is 
received from each respondent.
    No changes are proposed to RRB Form RL-380-F. The completion time 
for Form RL-380-F is estimated at 10 minutes per response. The RRB 
estimates that approximately 600 responses are received annually.

FOR FURTHER INFORMATION CONTACT: 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 an e-mail to [email protected]. Written 
comments should be received within 60 days of this notice.

Charles Mierzwa,
Clearance Officer.
[FR Doc. 04-19882 Filed 8-31-04; 8:45 am]
BILLING CODE 7905-01-P