80 FR 32636 - Agency Forms Submitted for OMB Review, Request for Comments
RAILROAD RETIREMENT BOARD Federal Register Volume 80, Issue 110 (June 9, 2015)
Federal Register Volume 80, Issue 110 (June 9, 2015)
| Page Range | 32636-32637 | |
| FR Document | 2015-14096 |
[Federal Register Volume 80, Number 110 (Tuesday, June 9, 2015)] [Notices] [Pages 32636-32637] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-14096] ======================================================================= ----------------------------------------------------------------------- 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 [[Page 32637]] comments, it is best if the RRB and OIRA receive them within 30 days of the publication date. Under section 2 of the Railroad Retirement Act, an annuity is not payable or is reduced for any month in which the annuitant works for a railroad or earns more than prescribed dollar amounts from either non- railroad employment or self-employment. Certain types of work may indicate an annuitant's recovery from disability. The provisions relating to the reduction or non-payment of an annuity by reason of work, and an annuitant's recovery from disability for work, are prescribed in 20 CFR 220.17-220.20. The RRB conducts continuing disability reviews (CDR) to determine whether an annuitant continues to meet the disability requirements of the law. Provisions relating to when and how often the RRB conducts CDR's are prescribed in 20 CFR 220.186. Form G-254, Continuing Disability Report, is used by the RRB to develop information for a CDR determination, including a determination prompted by a report of work, return to railroad service, allegation of medical improvement, or a routine disability review call-up. Form G- 254a, Continuing Disability Update Report, is used to help identify a disability annuitant whose work activity and/or recent medical history warrants completion of Form G-254 for a more extensive review. Completion is required to retain a benefit. One response is requested of each respondent to Forms G-254 and G-254a. Previous Requests for Comments: The RRB has already published the initial 60-day notice (80 FR 13921 on March 17, 2015) required by 44 U.S.C. 3506(c)(2). That request elicited no comments. Information Collection Request (ICR) Title: Continuing Disability Report. OMB Control Number: 3220-0187. Forms submitted: G-254 and G-254a. Type of request: Revision of a currently approved collection. Affected public: Individuals or Households. Abstract: Under the Railroad Retirement Act, a disability annuity can be reduced or not paid, depending on the amount of earnings and type of work performed. The collection obtains information about a disabled annuitant's employment and earnings. Changes proposed: The RRB proposes the following changes to Form G- 254:Revise current Item 12a to include the spouse as a source of employment. Revise current Items 15k, 17a, and 17b to show the impact the disability has had on their business and decision making abilities. Renumber current Item 31 to Item 31a and create New Items 31b and c to identify the annuitant who requires an assistive device and to identify the assistive device, such as a cane, oxygen, etc. Other minor editorial changes. The RRB also proposes the following change to Form G-254A: Add a request for the social security number of the applicant who is not the employee to resolve any ambiguous issues. The burden estimate for the ICR is as follows: ---------------------------------------------------------------------------------------------------------------- Annual Form No. responses Time (minutes) Burden (hours) ---------------------------------------------------------------------------------------------------------------- G-254........................................................... 1,500 5-35 623 G-254a.......................................................... 1,500 5 125 ----------------------------------------------- Total....................................................... 3,000 .............. 748 ---------------------------------------------------------------------------------------------------------------- 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. 2015-14096 Filed 6-8-15; 8:45 am] BILLING CODE 7905-01-P
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benefits by a percentage of benefits (i.e. the Federal Register at 64 FR 54930 Federal contractors and organizations or
Disability Annuitants, Children (Oct. 8, 1999), as amended at 73 FR sources that process or use Federal
Survivor Annuitants and Spousal 15013 (March 20, 2008). information, or that operate, use, or
Survivor Annuitants) payable under OPM’s records of surviving spouses have access to Federal information
Title II of the Social Security Act. This who may be eligible to receive the FERS systems on behalf of an agency. OPM
matching activity will enable OPM to Supplementary Annuity will be will be responsible for oversight and
compute benefits at the correct rate and matched against SSA’s mother or compliance of their contractors and
determine eligibility for these benefits. father’s insurance benefit and/or agents. Both OPM and SSA reserve the
disabled widow(er)’s insurance benefit right to conduct onsite inspection to
C. Authority for Conducting the records. If the surviving spouse is
Matching Program monitor compliance with FISMA
receiving one of the above described regulations.
Section 8461 (h) of title 5 of the Social Security benefits, he or she is not
United States Code. eligible to receive the FERS F. Inclusive Dates of the Match
D. Categories of Records and Supplementary Annuity. FERS, 5 U.S.C. The matching program shall become
Individuals Covered by the Match 8442 (f) provides that a survivor who is effective upon signing of the agreement
entitled to a survivor’s annuity and who by both parties to the agreement and
Under the matching program, OPM meets certain other statutory approval of the agreement by the Data
will match SSA’s disability insurance requirements shall also be entitled to a Integrity Boards of the respective
benefits (DIB) and payment date against Supplementary Annuity. To be eligible agencies, but no sooner than 40 days
OPM’s records of retirees receiving a to receive a Supplementary Annuity for after notice of the matching program is
FERS disability annuity. The purpose of a given month, the surviving spouse of sent to Congress and the Office of
the matching program is to identify a a deceased FERS annuitant must be Management and Budget or 30 days
person receiving both a FERS disability eligible for a FERS survivor annuity, be after publication of this notice in the
annuity and a DIB under section 223 of under age 60, be an individual who Federal Register, whichever is later.
the Social Security Act, 42 U.S.C. 423, would be entitled to widow’s or The matching program will continue for
in order to apply OPM offsets. Under widower’s insurance benefits under the 18 months from the effective date and
FERS, 5 U.S.C. 8452(a)(2)(A), for any requirements of sections 202(e) and may be extended for an additional 12
month in which an annuitant is entitled 402(f), based on the wages and self months thereafter, if certain conditions
to both a FERS disability annuity and to employment survivor had attained age are met.
a DIB, the FERS annuity shall be 60 and otherwise satisfied necessary
computed as follows: The FERS U.S. Office of Personnel Management.
requirement for widow’s or widow(er’s)
disability annuity is reduced, for any insurance benefits. See 5 U.S.C Katherine Archuleta,
month during the first year after the 8442(f)(4)(B). The individual must not Director.
individual’s FERS disability annuity be eligible for Social Security mother’s [FR Doc. 2015–14082 Filed 6–8–15; 8:45 am]
commences or is restored, by 100% of or father’s insurance benefits or disabled BILLING CODE 6325–38–P
the individual’s assumed Social widow(er)’s insurance benefits based on
Security DIB for such month, and, for the deceased annuitant’s wages and
any month occurring during a period selfemployment income. RAILROAD RETIREMENT BOARD
other than the period described above,
by 60% of the individual’s assumed E. Privacy Safeguards and Security
Agency Forms Submitted for OMB
Social Security DIB for such month. The Privacy Act (5 U.S.C. Review, Request for Comments
OPM will provide SSA with an extract 552a(o)(l)(G)) requires that each
from the Annuity Master File and from matching agreement specify procedures Summary: In accordance with the
pending claims snapshot records via the for ensuring the administrative, Paperwork Reduction Act of 1995 (44
File Transfer Management System technical, and physical security of the U.S.C. chapter 35), the Railroad
(FTMS). The extracted file will contain records matched and the results of such Retirement Board (RRB) is forwarding
identifying information concerning the programs. All Federal agencies are an Information Collection Request (ICR)
child survivor annuitant for whom OPM subject to: The Federal Information to the Office of Information and
needs information concerning receipt of Security Management Act of 2002 Regulatory Affairs (OIRA), Office of
SSA child survivor benefits: full name, (FISMA) (44 U.S.C. 3541 et seq.); related Management and Budget (OMB). Our
Social Security Number, date of birth, OMB circulars and memorandum (e.g. ICR describes the information we seek
and type of information requested, as OMB Circular A–130 and OMB M–06– to collect from the public. Review and
required to extract data from the SSA 16); National Institute of Science and approval by OIRA ensures that we
State Verification and Exchange System Technology (NIST) directives; and the impose appropriate paperwork burdens.
Files for Title II records. Each record on Federal Acquisition Regulations (FAR). The RRB invites comments on the
the OPM file will be matched to SSA’s These laws, circulars, memoranda, proposed collection of information to
records to identify FERS child survivor directives and regulations include determine (1) the practical utility of the
annuitants who are receiving SSA CIBs. requirements for safeguarding Federal collection; (2) the accuracy of the
The SSA systems of records involved in information systems and personally estimated burden of the collection; (3)
this CMA are the Master Files of Social identifiable information used in Federal ways to enhance the quality, utility, and
Security Number Holders and SSN agency business processes, as well as clarity of the information that is the
Applications (Numident), 60–0058 and related reporting requirements. OPM subject of collection; and (4) ways to
tkelley on DSK3SPTVN1PROD with NOTICES
the MBR, 60–0090. OPM’s system of and SSA recognize that all laws, minimize the burden of collections on
records involved in this matching circulars, memoranda, directives, and respondents, including the use of
program is designated OPM/Central–1, regulations relating to the subject of this automated collection techniques or
Civil Service Retirement and Insurance agreement and published subsequent to other forms of information technology.
Records. For records from OPM/ the effective date of this agreement must Comments to the RRB or OIRA must
Central–1, notice was provided by the also be implemented if mandated. contain the OMB control number of the
publication of the system of records in FISMA requirements apply to all ICR. For proper consideration of your
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![Federal Register / Vol. 80, No. 110 / Tuesday, June 9, 2015 / Notices 32637
comments, it is best if the RRB and service, allegation of medical be reduced or not paid, depending on
OIRA receive them within 30 days of improvement, or a routine disability the amount of earnings and type of work
the publication date. review call-up. Form G–254a, performed. The collection obtains
Under section 2 of the Railroad Continuing Disability Update Report, is information about a disabled annuitant’s
Retirement Act, an annuity is not used to help identify a disability employment and earnings.
payable or is reduced for any month in annuitant whose work activity and/or Changes proposed: The RRB proposes
which the annuitant works for a railroad recent medical history warrants the following changes to Form G–254:
or earns more than prescribed dollar completion of Form G–254 for a more • Revise current Item 12a to include
amounts from either non-railroad extensive review. Completion is the spouse as a source of employment.
employment or self-employment. required to retain a benefit. One
• Revise current Items 15k, 17a, and
Certain types of work may indicate an response is requested of each
respondent to Forms G–254 and 17b to show the impact the disability
annuitant’s recovery from disability. has had on their business and decision
The provisions relating to the reduction G–254a.
Previous Requests for Comments: The making abilities.
or non-payment of an annuity by reason
RRB has already published the initial • Renumber current Item 31 to Item
of work, and an annuitant’s recovery
60-day notice (80 FR 13921 on March 31a and create New Items 31b and c to
from disability for work, are prescribed
17, 2015) required by 44 U.S.C. identify the annuitant who requires an
in 20 CFR 220.17–220.20. The RRB
3506(c)(2). That request elicited no assistive device and to identify the
conducts continuing disability reviews
comments. assistive device, such as a cane, oxygen,
(CDR) to determine whether an
etc.
annuitant continues to meet the Information Collection Request (ICR)
disability requirements of the law. • Other minor editorial changes.
Title: Continuing Disability Report. The RRB also proposes the following
Provisions relating to when and how OMB Control Number: 3220–0187.
often the RRB conducts CDR’s are change to Form G–254A:
Forms submitted: G–254 and G–254a.
prescribed in 20 CFR 220.186. Type of request: Revision of a • Add a request for the social security
Form G–254, Continuing Disability currently approved collection. number of the applicant who is not the
Report, is used by the RRB to develop Affected public: Individuals or employee to resolve any ambiguous
information for a CDR determination, Households. issues.
including a determination prompted by Abstract: Under the Railroad The burden estimate for the ICR is as
a report of work, return to railroad Retirement Act, a disability annuity can follows:
Annual Time Burden
Form No. responses (minutes) (hours)
G–254 .......................................................................................................................................... 1,500 5–35 623
G–254a ........................................................................................................................................ 1,500 5 125
Total ...................................................................................................................................... 3,000 ........................ 748
Additional Information or Comments: collections, the Railroad Retirement The requirements for obtaining
Copies of the forms and supporting Board (RRB) will publish periodic documentary evidence to determine
documents can be obtained from Dana summaries of proposed data collections. valid marital relationships are
Hickman at (312) 751–4981 or Comments are invited on: (a) Whether prescribed in 20 CFR 219.30 through
Dana.Hickman@RRB.GOV. the proposed information collection is 219.35. Section 2(e) of the RRA requires
Comments regarding the information necessary for the proper performance of that an employee must relinquish all
collection should be addressed to rights to any railroad employer service
the functions of the agency, including
Charles Mierzwa, Railroad Retirement before a spouse annuity can be paid.
whether the information has practical
Board, 844 North Rush Street, Chicago, The RRB uses Form G–346,
utility; (b) the accuracy of the RRB’s
Illinois, 60611–2092 or Employee’s Certification, to obtain the
estimate of the burden of the collection
Charles.Mierzwa@RRB.GOV and to the information needed to determine
of the information; (c) ways to enhance
OMB Desk Officer for the RRB, Fax: whether the employee’s current
the quality, utility, and clarity of the
202–395–6974, Email address: OIRA_ marriage is valid. Form G–346 is
information to be collected; and (d)
Submission@omb.eop.gov. completed by the retired employee who
ways to minimize the burden related to
is the husband or wife of the applicant
Charles Mierzwa, the collection of information on
for a spouse annuity. Completion is
Chief of Information Resources Management. respondents, including the use of required to obtain a benefit. One
[FR Doc. 2015–14096 Filed 6–8–15; 8:45 am] automated collection techniques or response is requested of each
BILLING CODE 7905–01–P other forms of information technology. respondent. The RRB proposes no
Title and purpose of information changes to Form G–346.
collection: Employee’s Certification; Form G–346sum, Employee
RAILROAD RETIREMENT BOARD OMB 3220–0140 Section 2 of the Certification Summary, which mirrors
Railroad Retirement Act (RRA), the information collected on Form G–
Proposed Collection; Comment
tkelley on DSK3SPTVN1PROD with NOTICES
provides for the payment of an annuity 346, is used when an employee, after
Request
to the spouse or divorced spouse of a being interviewed by an RRB field office
Summary: In accordance with the retired railroad employee. For the staff member ‘‘signs’’ the form using an
requirement of section 3506(c)(2)(A) of spouse or divorced spouse to qualify for alternative signature method known as
the Paperwork Reduction Act of 1995 an annuity, the RRB must determine if ‘‘attestation.’’ Attestation refers to the
which provides opportunity for public any of the employee’s current marriage action taken by the RRB field office
comment on new or revised data to the applicant is valid. employee to confirm and annotate the
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Document Created: 2015-12-15 15:26:13
Document Modified: 2015-12-15 15:26:13
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| FR Citation | 80 FR 32636 |
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