[Federal Register Volume 81, Number 128 (Tuesday, July 5, 2016)]
[Notices]
[Pages 43670-43671]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-15887]


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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 the 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.
    1. Title and purpose of information collection: Medical Reports; 
OMB 3220-0038. Under sections 2(a)(1)(iv) and 2(a)(1)(v) of the 
Railroad Retirement Act (RRA), annuities are payable to qualified 
railroad employees whose physical or mental condition makes them unable 
to (1) work in their regular occupation (occupational disability) or 
(2) work at all (total disability). The requirements

[[Page 43671]]

for establishing disability and proof of continuing disability under 
the RRA are prescribed in 20 CFR 220.
    Annuities are also payable to (1) qualified spouses and widow(ers) 
under sections 2(c)(1)(ii)(C) and 2(d)(1)(ii) of the RRA who have a 
qualifying child who became disabled before age 22; (2) surviving 
children on the basis of disability under section 2(d)(1)(iii)(C), if 
the child's disability began before age 22; and (3) widow(er)s on the 
basis of disability under section 2(d)(1)(i)(B). To meet the disability 
standard, the RRA provides that individuals must have a permanent 
physical or mental condition that makes them unable to engage in any 
regular employment.
    Under section 2(d)(1)(v) of the RRA, annuities are also payable to 
remarried widow(er)s and surviving divorced spouses on the basis of, 
among other things, disability or having a qualifying disabled child in 
care. However, the disability standard in these cases is that found in 
the Social Security Act. That is, individuals must be unable to engage 
in any substantial gainful activity by reason of any medically 
determinable physical or mental impairment. The RRB also determines 
entitlement to a Period of Disability and entitlement to early Medicare 
based on disability for qualified claimants in accordance with Section 
216 of the Social Security Act.
    When making disability determinations, the RRB needs evidence from 
acceptable medical sources. The RRB currently utilizes Forms G-3EMP, 
Report of Medical Condition by Employer; G-197, Authorization to 
Disclose Information to the Railroad Retirement Board; G-250, Medical 
Assessment; G-250A, Medical Assessment of Residual Functional Capacity; 
G-260, Report of Seizure Disorder; RL-11B, Disclosure of Hospital 
Medical Records; RL-11D, Disclosure of Medical Records from a State 
Agency; and RL-250, Request for Medical Assessment, to obtain the 
necessary medical evidence. The RRB proposes no revisions to these 
forms.
    In support of the RRB's Disability Program Improvement Project to 
enhance/improve disability case processing and overall program 
integrity, the RRB proposes the addition of proposed Form RL-11D1, 
Request for Medical Evidence from Employers, to the information 
collection. Form RL-11D1 will be mailed by an RRB field office to 
railroad and nonrailroad employers to obtain any medical evidence 
regarding the employee's disability that they may have acquired within 
the last 18 months. A copy of the employee signed Form G-197 will be 
enclosed with the RL-11D1. The employer will return the RL-11D1 to RRB 
Headquarters certifying that they either have submitted the requested 
medical evidence or that they have no medical evidence to submit. One 
response is requested of each respondent. Completion is voluntary.

                                      Estimate of Annual Respondent Burden
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                                                                      Annual           Time           Burden
                            Form No.                                 responses       (minutes)        (hours)
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G-3EMP..........................................................             600              10             100
G-197...........................................................           6,000              10           1,000
G-250...........................................................          11,950              30           5,975
G-250A..........................................................              50              20              17
G-260...........................................................             100              25              42
RL-11B..........................................................           5,000              10             833
RL-11D..........................................................             250              10              42
RL-11D1.........................................................             600              20             200
RL-250..........................................................          11,950              10           1,992
                                                                 -----------------------------------------------
    Total.......................................................          36,500  ..............          10,201
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    Additional Information or Comments: To request more information or 
to obtain a copy of the information collection justification, forms, 
and/or supporting material, contact 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 emailed to 
[email protected]. Written comments should be received within 60 
days of this notice.

Charles Mierzwa,
Chief of Information Resources Management.
[FR Doc. 2016-15887 Filed 7-1-16; 8:45 am]
 BILLING CODE 7905-01-P