[Federal Register Volume 84, Number 29 (Tuesday, February 12, 2019)]
[Notices]
[Pages 3517-3518]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-01942]
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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.
Title and purpose of information collection: Application for
Survivor Death Benefits; OMB 3220-0031.
Under Section 6 of the Railroad Retirement Act (RRA), lump-sum
death benefits are payable to surviving widow(er)s, children, and
certain other dependents. Lump-sum death benefits are payable after the
death of a railroad employee only if there are no qualified survivors
of the employee immediately eligible for annuities. With the exception
of the residual death benefit, eligibility for survivor benefits
depends on whether the deceased employee was ``insured'' under the RRA
at the time of death. If the deceased employee was not insured,
jurisdiction of any survivor benefits payable is transferred to the
Social Security Administration and survivor benefits are paid by that
agency instead of the RRB. The requirements for applying for benefits
are prescribed in 20 CFR 217, 219, and 234.
The collection obtains the information required by the RRB to
determine entitlement to and amount of the survivor death benefits
applied for. To collect the information, the RRB uses Forms AA-21,
Application for Lump-Sum Death Payment and Annuities Unpaid at Death;
AA-21cert, Application Summary and Certification; G-131, Authorization
of Payment and Release of All Claims to a Death Benefit or Accrued
Annuity Payment; and G-273a, Funeral Director's Statement of Burial
Charges. One response is requested of each respondent. Completion is
required to obtain benefits.
Previous requests for comments: The RRB has already published the
initial 60-day notice (83 FR 62390 on December 3, 2018) required by 44
U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Application for Survivor Death Benefits.
OMB Control Number: 3220-0031.
Form(s) submitted: AA-21, AA-21cert, G-131, and G-273a.
Type of request: Revision of a currently approved collection.
Affected public: Individuals or Households.
Abstract: The collection obtains the information needed to pay
death benefits and annuities due but unpaid at death under the Railroad
Retirement Act. Benefits are paid to designated
[[Page 3518]]
beneficiaries or to survivors in a priority designated by law.
Changes proposed: The RRB proposes the following changes to Forms
AA-21, AA-21cert, and G-273a:
Forms AA-21 and AA-21cert--Update the fraud language in
the Certification statement to make it consistent with other RRB
applications;
Form G-273a--Add clarifying language above Item 10 to
inform a funeral home when to file for a lump-sum death benefit.
The RRB proposes no changes to Form G-131.
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-21cert with assistance....................................... 3,500 20 1,167
AA-21 without assistance........................................ 200 40 133
G-131........................................................... 100 5 8
G-273a.......................................................... 4,000 10 667
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Total....................................................... 7,800 .............. 1,975
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Additional information or comments: Copies of the forms and
supporting documents can be obtained from Brian Foster at (312) 751-
4826 or [email protected].
Comments regarding the information collection should be addressed
to Brian Foster, 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].
Brian Foster,
Clearance Officer.
[FR Doc. 2019-01942 Filed 2-11-19; 8:45 am]
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