[Federal Register Volume 70, Number 160 (Friday, August 19, 2005)]
[Notices]
[Page 48787]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-16470]


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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: Medicare; OMB 3220-
0082. Under section 7(d) of the Railroad Retirement Act (RRA), the 
Railroad Retirement Board (RRB) administers the Medicare program for 
persons covered by the railroad retirement system. The RRB uses Form 
AA-6, Employee Application for Medicare; Form AA-7, Spouse/Divorced 
Spouse Application For Medicare; and Form AA-8, Widow/Widower 
Application for Medicare; to obtain the information needed to determine 
whether individuals who have not yet filed for benefits under the RRA 
are qualified for Medicare payments provided under Title XVIII of the 
Social Security Act.
    Further, in order for the RRB to determine if a qualified railroad 
retirement beneficiary who is claiming supplementary medical insurance 
coverage under Medicare is entitled to a Special Enrollment Period 
(SEP) and/or premium surcharge relief because of coverage under an 
Employer Group Health Plan (EGHP), it needs to obtain information 
regarding the claimant's EGHP coverage, if any. The RRB uses Form RL-
311-F, Evidence of Coverage Under An Employer Group Health Plan, to 
obtain the basic information needed by the RRB to establish EGHP 
coverage for a qualified railroad retirement beneficiary. Completion of 
the forms is required to obtain a benefit. One response is requested of 
each respondent.
    The RRB proposes no changes to Forms AA-6, AA-7 and AA-8. The RRB 
proposes revising Form RL-311-F by adding a new item, Item 2, ``Name of 
the Group Health Plan''. In addition the RRB proposes minor, non-burden 
impacting, editorial and formatting changes. The RRB estimates that 180 
Form AA-6's, 50 Form AA-7's, 10 Form AA-8's, and 800 RL-311-F's are 
completed annually. The completion time for Forms AA-6, AA-7 and AA-8 
is estimated at 8 minutes. The completion time for Form RL-311-F is 
estimated at 10 minutes.
    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. 05-16470 Filed 8-18-05; 8:45 am]
BILLING CODE 7905-01-P