[Federal Register Volume 70, Number 28 (Friday, February 11, 2005)]
[Notices]
[Page 7313]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-2660]


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RAILROAD RETIREMENT BOARD


Proposed Data Collection Available for Public Comment and 
Recommendations

    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: Statement of Authority 
to Act for Employee; OMB 3220-0034.
    Under Section 5(a) of the Railroad Unemployment Insurance Act 
(RUIA), claims for benefits are to be made in accordance with such 
regulations as the Railroad Retirement Board (RRB) shall prescribe. The 
provisions for claiming sickness benefits as provided by Section 2 of 
the RUIA are prescribed in 20 CFR 335.2. Included in these provisions 
is the RRB's acceptance of forms executed by someone else on behalf of 
an employee if the RRB is satisfied that the employee is sick or 
injured to the extent of being unable to sign forms.
    The RRB utilizes Form SI-10, Statement of Authority to Act for 
Employee, to provide the means for an individual to apply for authority 
to act on behalf of an incapacitated employee and also to obtain the 
information necessary to determine that the delegation should be made. 
Part I of the form is completed by the applicant for the authority and 
Part II is completed by the employee's doctor. One response is 
requested of each respondent. Completion is required to obtain 
benefits.
    The RRB proposes no changes to Form SI-10.
    The estimated annual respondent burden is as follows:
    Form: SI-10.
    Estimate of Annual Responses: 400.
    Estimated Completion Time: 6 minutes.
    Total Burden Hours: 40.
    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 an e-mail to 
[email protected]. Written comments should be received within 60 
days of this notice.

Charles Mierzwa,
Clearance Officer.
[FR Doc. 05-2660 Filed 2-10-05; 8:45 am]
BILLING CODE 7905-01-P