[Federal Register Volume 73, Number 116 (Monday, June 16, 2008)]
[Notices]
[Page 34059]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-13398]



[[Page 34059]]

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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) is forwarding 
an Information Collection Request (ICR) to the Office of Information 
and Regulatory Affairs (OIRA), Office of Management and Budget (OMB) to 
request an extension of a currently approved collection of information: 
3220-0086, Application for Reimbursement for Hospital Insurance 
Services in Canada. 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 use of automated collection techniques or 
other forms of information technology. Comments to RRB or OIRA must 
contain the OMB control number of the ICR. For proper consideration of 
your comments, it is best if RRB and OIRA receive them within 30 days 
of publication date.
    Under section 7(d) of the Railroad Retirement Act (RRA), the RRB 
administers the Medicare program for persons covered by the railroad 
retirement system. Payments are provided under section 7(d)(4) of the 
RRA for medical services furnished in Canada to the same extent as for 
those furnished in the United States. However, payments for the 
services furnished in Canada are made from the Railroad Retirement 
Account rather than from the Federal Hospital Insurance Trust Fund, 
with the payments limited to the amount by which insurance benefits 
under Medicare exceed the amounts payable under Canadian Provincial 
plans.
    Form AA-104, Application for Canadian Hospital Benefits Under 
Medicare--Part A, is provided by the RRB for use in claiming benefits 
for covered hospital services received in Canada. The form obtains 
information needed to determine eligibility for, and the amount of any 
reimbursement due the applicant. One response is requested of each 
respondent. Completion is required to obtain a benefit.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (73 FR 10075 on February 25, 2008) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Application for Reimbursement for Hospital Insurance 
Services in Canada.
    OMB Control Number: OMB 3220-0086.
    Form(s) submitted: AA-104.
    Type of request: Revision of a currently approved collection.
    Affected public: Individuals or Households.
    Abstract: The Railroad Retirement Board administers the Medicare 
program for persons covered by the Railroad Retirement system. The 
collection obtains the information needed to determine eligibility and 
for the amount due for covered hospital services received in Canada.
    Changes Proposed: The RRB proposes non-burden impacting formatting 
and editorial changes to Form AA-104.
    The burden estimate for the ICR is as follows:
    Estimated Completion Time for Form(s): Completion time for Form AA-
104 is estimated at 10 minutes.
    Estimated annual number of respondents: 35.
    Total annual responses: 35.
    Total annual reporting hours: 6.
    Additional Information or Comments: 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 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, at the Office of Management and Budget, Room 
10230, New Executive Office Building, Washington, DC 20503.

Charles Mierzwa,
Clearance Officer.
[FR Doc. E8-13398 Filed 6-13-08; 8:45 am]
BILLING CODE 7905-01-P