[Federal Register Volume 78, Number 130 (Monday, July 8, 2013)]
[Notices]
[Pages 40778-40779]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-16187]


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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.
    Under Section 12 of the Railroad Retirement Act, the Railroad 
Retirement Board (RRB) may pay benefits to a representative payee when 
an employee, spouse or survivor annuitant is incompetent or is a minor. 
A representative payee may be a court-appointed guardian, a statutory 
conservator or an individual selected by the RRB. The procedures 
pertaining to the appointment and responsibilities of a representative 
payee are prescribed in 20 CFR 266.
    The forms furnished by the RRB to apply for representative payee 
status, and for securing the information needed to support the 
application follow. RRB Form AA-5, Application for Substitution of 
Payee, obtains

[[Page 40779]]

information needed to determine the selection of a representative payee 
who will serve in the best interest of the beneficiary. RRB Form G-478, 
Statement Regarding Patient's Capability to Manage Benefits, obtains 
information about an annuitant's capability to manage their own 
benefits. The form is completed by the annuitant's personal physician 
or by a medical officer, if the annuitant is in an institution. It is 
not required when a court has appointed an individual or institution to 
manage the annuitant's funds or, in the absence of such appointment, 
when the annuitant is a minor. The RRB also provides representative 
payees with a booklet at the time of their appointment. The booklet, 
RRB Form RB-5, Your Duties as Representative Payee-Representative 
Payee's Record, advises representative payees of their responsibilities 
under 20 CFR 266.9 and provides a means for the representative payee to 
maintain records pertaining to the receipt and use of RRB benefits. The 
booklet is provided for the representative payee's convenience. The RRB 
also accepts records that are kept by representative payee's as part of 
a common business practice.
    Completion is voluntary. One response is requested of each 
respondent.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (78 FR 23599 on April 19, 2013) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Application to Act as Representative Payee
    OMB Control Number: 3220-0052
    Forms submitted: AA-5, G-478, and RB-5
    Type of request: Revision of a currently approved collection
    Affected public: Individuals or households; business or other for 
profit
    Abstract: Under Section 12 of the Railroad Retirement Act, the 
Railroad Retirement Board (RRB) may pay benefits to a representative 
payee when an employee, spouse or survivor annuitant is incompetent or 
is a minor. The collection obtains information related to the 
representative payee application, supporting documentation and the 
maintenance of records pertaining to the receipt and use of benefits.
    Changes proposed: The RRB is proposing non-burden impacting 
editorial changes to Form AA-5 and the RB-5 booklet. No changes are 
proposed for Form G-478.

                                 The Burden Estimate for the ICR is as Follows:
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                                                                      Annual           Time           Burden
                            Form No.                                 responses       (minutes)        (hours)
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AA-5............................................................           3,000  ..............           850.0
    Individuals.................................................           2,250              17           637.5
    Institutions................................................             750  ..............           212.5
G-478...........................................................           2,000               6           200.0
RB-5............................................................          15,300  ..............          15,300
    Individuals.................................................          11,475              60          11,475
    Institutions................................................           3,825  ..............           3,825
                                                                 -----------------------------------------------
        Total...................................................          20,300  ..............          16,350
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    Additional Information or Comments: Copies of the forms and 
supporting documents can be obtained from Dana Hickman at (312) 751-
4981 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,
Chief of Information Resources Management.
[FR Doc. 2013-16187 Filed 7-5-13; 8:45 am]
BILLING CODE 7905-01-P