[Federal Register Volume 81, Number 205 (Monday, October 24, 2016)]
[Notices]
[Pages 73156-73157]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-25673]


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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 collections of information 
to determine (1) the practical utility of the collections; (2) the 
accuracy of the estimated burden of the collections; (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 to Act 
as Representative Payee; OMB 3220-0052.
    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 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 payees 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 (81 FR 54856 on August 17, 2016) 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 Forms AA-5, G-478, and the RB-5 booklet.
    The burden estimate for the ICR is as follows:

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                                                                      Annual
                            Form No.                                 responses    Time (minutes)  Burden (hours)
----------------------------------------------------------------------------------------------------------------
AA-5............................................................           3,000  ..............             850
    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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    2. Employer Service and Compensation Reports; OMB 3220-0070.
    Section 2(c) of the Railroad Unemployment Insurance Act (RUIA) 
specifies the maximum normal unemployment and sickness benefits that 
may be paid in a benefit year. Section 2(c) further provides for 
extended benefits for certain employees and for beginning a benefit 
year early for other employees. The conditions for these actions are 
prescribed in 20 CFR 302.
    All information about creditable railroad service and compensation 
needed by the RRB to administer Section 2(c) is not always available 
from annual reports filed by railroad employers with the RRB (OMB 3220-
0008). When this occurs, the RRB must

[[Page 73157]]

obtain supplemental information about service and compensation.
    The RRB utilizes Form UI-41, Supplemental Report of Service and 
Compensation, and Form UI-41a, Supplemental Report of Compensation, to 
obtain the additional information about service and compensation from 
railroad employers. Completion of the forms is mandatory. One response 
is required of each respondent.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (81 FR 54857 on August 17, 2016) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Employer Service and Compensation Reports.
    OMB Control Number: 3220-0070.
    Forms submitted: UI-41 and UI-41a.
    Type of request: Extension without change of a currently approved 
collection.
    Affected public: Private Sector; Businesses or other for profits.
    Abstract: The reports obtain the employee's service and 
compensation for a period subsequent to those already on file and the 
employee's base year compensation. The information is used to determine 
the entitlement to and the amount of benefits payable.
    Changes proposed: The RRB proposes no changes to Form UI-41 and UI-
41a.
    The burden estimate for the ICR is as follows:

----------------------------------------------------------------------------------------------------------------
                                                                      Annual
                            Form No.                                 responses    Time (minutes)  Burden (hours)
----------------------------------------------------------------------------------------------------------------
UI-41...........................................................             100               8              13
UI-41a..........................................................              50               8               7
                                                                 -----------------------------------------------
    Total.......................................................             150  ..............              20
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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 60611-1275 or [email protected] and to the OMB 
Desk Officer for the RRB, Fax: 202-395-6974, Email address: 
[email protected].

Charles Mierzwa,
Associate Chief Information Officer for Policy and Compliance.
[FR Doc. 2016-25673 Filed 10-21-16; 8:45 am]
BILLING CODE 7905-01-P