[Federal Register Volume 77, Number 14 (Monday, January 23, 2012)]
[Notices]
[Pages 3289-3291]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-1186]


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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). 
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 the 
RRB or OIRA must contain the OMB control number of the ICR. For proper 
consideration of your comments, it is best if the RRB and OIRA receive 
them within 30 days of the publication date.
    1. Title and Purpose of information collection: Application for 
Benefits Due but Unpaid at Death; OMB 3220-0055.
    Under Section 2(g) of the Railroad Unemployment Insurance Act 
(RUIA),

[[Page 3290]]

benefits that accrued but were not paid because of the death of the 
employee shall be paid to the same individual(s) to whom benefits are 
payable under Section 6(a)(1) of the Railroad Retirement Act. The 
provisions relating to the payment of such benefits are prescribed in 
20 CFR 325.5 and 20 CFR 335.5.
    The RRB provides Form UI-63 for use in applying for the accrued 
sickness or unemployment benefits unpaid at the death of the employee 
and for securing the information needed by the RRB to identify the 
proper payee. 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 (76 FR 63960 on October 14, 2011) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Application for Benefits Due but Unpaid at Death.
    OMB Control Number: 3220-0055.
    Form submitted: UI-63.
    Type of request: Extension without change of a currently approved 
collection.
    Affected public: Individuals or Households.
    Abstract: The collection obtains the information needed by the 
Railroad Retirement Board to pay benefits accrued under section 2(g) of 
the Railroad Unemployment Insurance Act, but not paid because of the 
death of the employee.
    Changes proposed: The RRB proposes no changes to Form UI-63.
    The burden estimate for the ICR is as follows:

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                        Form No.                         Annual  responses   Time  (minutes)    Burden  (hours)
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UI-63..................................................                25                  7                  3
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    2. 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 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), the RRB 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.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (76 FR 63960 on October 14, 2011) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Medicare.
    OMB Control Number: 3220-0082.
    Forms submitted: AA-6, AA-7, AA-8, RL-311-F.
    Type of request: Extension without change of a currently approved 
collection.
    Affected public: Individuals or Households; Business-or-other for 
profit.
    Abstract: The Railroad Retirement Board administers the Medicare 
program for persons covered by the railroad retirement system. The 
forms in the collection obtain both information needed to enroll non-
retired employees and survivor applicants in the plan and information 
from railroad employers needed to determine if a railroad retirement 
beneficiary is entitled to a special enrollment period when applying 
for supplemental medical coverage under Medicare.
    Changes proposed: The RRB proposes no changes to Forms AA-6, AA-7, 
AA-8 or RL-311-F.
    The burden estimate for the ICR is as follows:

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                                                                 Annual
                         Form No.                               responses      Time  (minutes)   Burden  (hours)
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AA-6......................................................               180                 8                24
AA-7......................................................                50                 8                 7
AA-8......................................................                10                 8                 1
RL-311-F..................................................               800                10               133
                                                           -----------------------------------------------------
    Total.................................................             1,040  ................               165
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    3. Title and Purpose of information collection: Request to Non-
Railroad Employer for Information About Annuitant's Work and Earnings; 
OMB 3220-0107.
    Under Section 2 of the Railroad Retirement Act (RRA), a railroad 
employee's retirement annuity or an annuity paid to the spouse of a 
railroad employee is subject to work deductions in the Tier II 
component of the annuity and any employee supplemental annuity for any 
month in which the annuitant works for a Last Pre-Retirement Non-
Railroad Employer (LPE). The LPE is defined as the last person, 
company, or institution, other than a railroad employer, that employed 
an employee or spouse annuitant. In addition, the employee, spouse, or 
divorced spouse Tier I annuity benefit is subject to work deductions 
under Section 2(f)(1) of the RRA for earnings from any non-railroad 
employer that are over the annual exempt amount. The regulations 
pertaining to non-payment of annuities by reason of work and LPE

[[Page 3291]]

are contained in 20 CFR 230.1 and 230.2.
    The RRB utilizes Form RL-231-F, Request to Non-Railroad Employer 
for Information About Annuitant's Work and Earnings, to obtain the 
information needed to determine if a work deduction should be applied 
because an annuitant worked in non-railroad employment after the 
annuity beginning date. One response is requested of each respondent. 
Completion is voluntary.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (76 FR 65219 on October 20, 2011) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Request to Non-Railroad Employer for Information About 
Annuitant's Work and Earnings.
    OMB Control Number: 3220-0107.
    Forms submitted: RL-231-F.
    Type of request: Extension without change of a currently approved 
collection.
    Affected public: Private Sector; Businesses or other for-profits.
    Abstract: Under the Railroad Retirement Act (RRA), benefits are not 
payable if an annuitant works for an employer covered under the RRA or 
last non-railroad employer. The collection obtains information 
regarding an annuitant's work and earnings from a non-railroad 
employer. The information is used for determining whether benefits 
should be withheld.
    Changes proposed: The RRB proposes no changes to Form RL-231-F.
    The burden estimate for the ICR is as follows:

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                                                                 Annual
                         Form No.                               responses      Time  (minutes)   Burden  (hours)
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RL-231-F..................................................               300                30               150
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    Additional Information or Comments: Copies of the forms and 
supporting documents can be obtained from Charles Mierzwa, the agency 
clearance officer (312) 751-3363 or ([email protected]).
    Comments regarding the information collection should be addressed 
to Charles Mierzwa, Railroad Retirement Board, 844 North Rush Street, 
Chicago, Illinois, 60611-2092 or [email protected] and to the OMB 
Desk Officer for the RRB, Fax: (202) 395-6974, Email address: [email protected].

Charles Mierzwa,
Clearance Officer.
[FR Doc. 2012-1186 Filed 1-20-12; 8:45 am]
BILLING CODE 7905-01-P