[Federal Register Volume 90, Number 178 (Wednesday, September 17, 2025)]
[Notices]
[Page 44850]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-17981]
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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.
Title and purpose of information collection: Application for
Survivor Death Benefits; OMB 3220-0031.
Under Section 6 of the Railroad Retirement Act (RRA) (45 U.S.C.
231e), 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.
The RRB proposes no changes to Forms AA-21, AA-21cert and G-131.
The RRB proposes the following changes to Form G-273a:
In field 3, changed 3rd sentence and added 4th sentence to
``If paid by prearrangement, please show the name of the person who
made the prearrangement and any beneficiary, not the insurance company
or financial institution making the final payment. If there was a pre-
need agreement, please attach a copy of the contract.''
In the Paperwork Reduction Act and Privacy Act Notices
section, propose minor change to address.
Estimate of Annual Respondent Burden
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Form No. Annual 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.................................................. 20 5 2
G-273a................................................. 2,000 10 333
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Total.............................................. 5,720 ................. 1,635
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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 or comments regarding the information
collection should be addressed to Brian Foster, Railroad Retirement
Board, 844 North Rush Street, Chicago, Illinois 60611-1275 or emailed
to [email protected]. Written comments should be received within 60
days of this notice.
Brian Foster,
Clearance Officer.
[FR Doc. 2025-17981 Filed 9-16-25; 8:45 am]
BILLING CODE 7905-01-P