[Federal Register Volume 71, Number 218 (Monday, November 13, 2006)]
[Notices]
[Pages 66203-66204]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-19067]


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RAILROAD RETIREMENT BOARD


Agency Forms Submitted for OMB Review, Request for Comments

SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (44 
U.S.C. Chapter 35), the Railroad Retirement Board (RRB) will be sending 
an Information Collection Request (ICR) to the Office of Information 
and Regulatory Affairs (OIRA), Office of Management and Budget (OMB) to 
request a revision to the following collection of information: 3220-
0002, Application for Employee Annuity Under the Railroad Retirement 
Act, consisting of RRB Form(s) AA-1, Application for Employee Annuity, 
AA-1cert, Application Summary and Certification, AA-1d, Application for 
Determination of Employee's Disability, and G-204, Verification of 
Worker's Compensation/Public Disability Benefit Information. Our ICR 
describes the information we seek to collect from the public. Review 
and approval by OIRA ensures that we impose appropriate paperwork 
burdens.
    The RRB invites comments on the proposed collection of information 
to determine (1) the practical utility of the collection; (2) the 
accuracy of the estimated burden of the collection; (3) ways to enhance 
the quality, utility and clarity of the information that is the subject 
of collection; and (4) ways to minimize the burden of collections on 
respondents, including the including the use of automated collection 
techniques or other forms of information technology. Comments to RRB or 
OIRA must contain the OMB control number

[[Page 66204]]

of the ICR. For proper consideration of your comments, it is best if 
RRB and OIRA receive them within 30 days of publication date.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (71 FR 42887 on July 28, 2006) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Application for Employee Annuity Under the Railroad 
Retirement Act.
    OMB Control Number: 3220-0002.
    Form(s) submitted: AA-1, Application for Employee Annuity; AA-
1cert, Application Summary and Certification; AA-1d, Application for 
Determination of Employee's Disability; and G-204, Verification of 
Worker's Compensation/Public Disability Benefit Information.
    Type of request: Revision of a currently approved collection.
    Affected public: Individuals or households, State or local 
government.
    Obligation to Respond: Required to obtain or retain benefits.
    Abstract: The Railroad Retirement Act provides for payment of age, 
disability, and supplemental annuities to qualified employees. The 
application and related forms obtain information about the applicant's 
family work history, military service, disability benefits from other 
government agencies and public or private pensions. The information is 
used to determine entitlement to and the amount of the annuity applied 
for.
    Changes Proposed: The RRB proposes changes to the certification 
statements of Form(s) AA-1 and AA-1(cert) that are intended to provide 
additional specificity regarding post-application events that require 
an applicant to contact the RRB. Other non-burden impacting editorial 
and formatting changes to Form AA-1cert and Form AA-1 are also 
proposed. The RRB also proposes the addition of an item to Form AA-1d 
to ask a disability applicant if any additional medical procedures are 
scheduled after the filing of the form, and if so, what those 
procedures are, as well as minor non-burden impacting, editorial and 
formatting changes. The RRB proposes no changes to Form G-204.
    The burden estimate for this ICR is unchanged as follows:
    Estimated annual number of respondents: 13,105.
    Total annual responses: 18,110.
    Total annual reporting hours: 9,498.

FOR FURTHER INFORMATION CONTACT: Copies of the form and supporting 
documents can be obtained from Charles Mierzwa, the agency clearance 
officer at (312-751-3363) or [email protected].
    Comments: Comments regarding the information collection should be 
addressed to Ronald J. Hodapp, Railroad Retirement Board, 844 North 
Rush Street, Chicago, Illinois 60611-2092 or [email protected] and 
to the OMB Desk Officer for the RRB, Karen Matsuoka at 
[email protected], FAX (202) 395-6974.

Charles Mierzwa,
RRB Clearance Officer.
 [FR Doc. E6-19067 Filed 11-9-06; 8:45 am]
BILLING CODE 7905-01-P