[Federal Register Volume 71, Number 90 (Wednesday, May 10, 2006)]
[Notices]
[Page 27295]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 06-4359]


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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 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: 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 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, Patient's Request for 
Medicare Payment, (along with Centers for Medicare and Medicaid 
Services Form CMS-1500) to secure the information necessary to pay Part 
B Medicare Claims. One response is completed for each claim. Completion 
is required to obtain a benefit. The RRB proposes no changes to RRB 
Form G-740S. 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.
    Estimated annual 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 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. 06-4359 Filed 5-9-06; 8:45 am]
BILLING CODE 7905-01-M