80 FR 58526 - Agency Forms Submitted for OMB Review, Request for Comments
RAILROAD RETIREMENT BOARD Federal Register Volume 80, Issue 188 (September 29, 2015)
Federal Register Volume 80, Issue 188 (September 29, 2015)
| Page Range | 58526-58527 | |
| FR Document | 2015-24641 |
[Federal Register Volume 80, Number 188 (Tuesday, September 29, 2015)] [Notices] [Pages 58526-58527] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-24641] ----------------------------------------------------------------------- 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 [[Page 58527]] 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 comments, it is best if the RRB and OIRA receive them within 30 days of the publication date. 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-11a, Designation for Change of Beneficiary for Residual Lump-Sum; 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 (80 FR 44402 on July 27, 2015) 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-11a, AA-21cert, AA-21, G-131, G-273a. Type of request: Revision of an 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 beneficiaries or to survivors in a priority designated law. Changes proposed: The RRB proposes the following changes to the forms in the information collection:Form AA-11a--Remove from the information collection due to less than 10 responses a year. Form AA-21--Add clarifying language to better define who qualifies for a child's annuity and other minor editorial changes. Form G-131--For clarity, add an Instructions section and space for the RRB to enter the applicant's name and the waived share amount. Form G-273a--Add clarifying language to Item 2, regarding the total amount of charges the funeral home should enter; and what the funeral home should list as types of payments received or expected to be received to Item 3. The burden estimate for the ICR is as follows: ---------------------------------------------------------------------------------------------------------------- Annual Time Burden Form No. responses (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- AA-21 (without assistance)...................................... 200 40 133 AA-21cert (with assistance)..................................... 3,500 20 1,167 G-131........................................................... 100 5 8 G-273a.......................................................... 4,000 10 667 ----------------------------------------------- Total....................................................... 7,800 .............. 1,975 ---------------------------------------------------------------------------------------------------------------- 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. 2015-24641 Filed 9-28-15; 8:45 am] BILLING CODE 7905-01-P
![58526 Federal Register / Vol. 80, No. 188 / Tuesday, September 29, 2015 / Notices
Retirement Board (RRB) needs to know Previous Requests for Comments: The Affected public: Individuals or
a nonresident’s citizenship and legal RRB has already published the initial Households.
residence status. 60-day notice (80 FR 36862 on June 26, Abstract: Under the Railroad
To secure the required information, 2015) required by 44 U.S.C. 3506(c)(2). Retirement Act, the benefits payable to
the RRB utilizes Form RRB–1001, That request elicited no comments. an annuitant living outside the United
Nonresident Questionnaire, as a States may be subject to withholding
Information Collection Request (ICR)
supplement to an application as part of under Public Laws 98–21 and 98–76.
the initial application process, and as an Title: Nonresident Questionnaire. The form obtains the information
independent vehicle for obtaining the needed to determine the amount to be
OMB Control Number: 3220–0145.
needed information when an withheld.
annuitant’s residence or tax treaty status Form(s) submitted: RRB–1001. Changes proposed: The RRB proposes
changes. Completion is voluntary. One Type of request: Extension without no changes to Form RRB–1001.
response is requested of each change of a currently approved The burden estimate for the ICR is as
respondent. collection. follows:
Annual
Form No. Time (minutes) Burden (hours)
responses
RRB–1001 ...................................................................................................................................
(Initial Filing) ................................................................................................................................ 300 30 250
RRB–1001 ...................................................................................................................................
(Tax Renewal) ............................................................................................................................. 1,000 30 400
Total ...................................................................................................................................... 1,300 ........................ 650
2. Title and purpose of information determination for an annuity or various Information Collection Request (ICR)
collection: Statement of Claimant or other matters. The statements may also Title: Statement of Claimant or Other
Other Person; OMB 3220–0183. be used by the RRB to secure a variety Person.
To support an application for an of information needed to determine OMB Control Number: 3220–0183.
annuity under Section 2 of the Railroad eligibility to unemployment and Form(s) submitted: G–93.
Retirement Act (RRA) or for sickness benefits. Procedures related to Type of request: Extension without
unemployment benefits under Section 2 providing information needed for RRA change of a currently approved
of the Railroad Unemployment annuity or RUIA benefit eligibility collection.
Insurance Act (RUIA), pertinent determinations are prescribed in 20 CFR Affected public: Individuals or
information and proofs must be parts 217 and 320 respectively. Households.
furnished for the RRB to determine The RRB utilizes Form G–93, Abstract: Under Section 2 of the
benefit entitlement. Circumstances may Statement of Claimant or Other Person, Railroad Retirement Act and the
require an applicant or other person(s) to obtain from applicants or other Railroad Unemployment Insurance Act,
having knowledge of facts relevant to persons, the supplemental or corrective pertinent information and proofs must
the applicant’s eligibility for an annuity information needed to determine be submitted by an applicant so that the
or benefits to provide written statements Railroad Retirement Board can
applicant eligibility for an RRA annuity
supplementing or changing statements determine his or her entitlement to
or RUIA benefits. Completion is
previously provided by the applicant. benefits. The collection obtains
voluntary. One response is requested of
Under the railroad retirement program information supplementing or changing
these statements may relate to a change each respondent. information previously provided by an
in an annuity beginning date(s), date of Previous Requests for Comments: The applicant.
marriage(s), birth(s), prior railroad or RRB has already published the initial Changes proposed: The RRB proposes
non-railroad employment, an 60-day notice (80 FR 36862 on June 26, no revisions to Form G–93.
applicant’s request for reconsideration 2015) required by 44 U.S.C. 3506(c)(2). The burden estimate for the ICR is as
of an unfavorable RRB eligibility That request elicited no comments. follows:
Annual
Form No. Time (minutes) Burden (hours)
responses
G–93 ............................................................................................................................................ 200 15 50
Additional Information or Comments: OMB Desk Officer for the RRB, Fax: RAILROAD RETIREMENT BOARD
Copies of the forms and supporting 202–395–6974, Email address: OIRA_
documents can be obtained from Dana
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Submission@omb.eop.gov. Agency Forms Submitted for OMB
Hickman at (312) 751–4981 or Review, Request for Comments
Dana.Hickman@RRB.GOV. Charles Mierzwa,
Comments regarding the information Chief of Information Resources Management. SUMMARY: In accordance with the
collection should be addressed to [FR Doc. 2015–24651 Filed 9–28–15; 8:45 am] Paperwork Reduction Act of 1995 (44
Charles Mierzwa, Railroad Retirement BILLING CODE 7905–01–P U.S.C. Chapter 35), the Railroad
Board, 844 North Rush Street, Chicago, Retirement Board (RRB) is forwarding
Illinois, 60611–2092 or an Information Collection Request (ICR)
Charles.Mierzwa@RRB.GOV and to the to the Office of Information and
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![Federal Register / Vol. 80, No. 188 / Tuesday, September 29, 2015 / Notices 58527
Regulatory Affairs (OIRA), Office of ‘‘insured’’ under the RRA at the time of Form(s) submitted: AA–11a, AA–
Management and Budget (OMB). Our death. If the deceased employee was not 21cert, AA–21, G–131, G–273a.
ICR describes the information we seek insured, jurisdiction of any survivor Type of request: Revision of an
to collect from the public. Review and benefits payable is transferred to the approved collection.
approval by OIRA ensures that we Social Security Administration and Affected public: Individuals or
impose appropriate paperwork burdens. survivor benefits are paid by that agency Households.
The RRB invites comments on the instead of the RRB. The requirements Abstract: The collection obtains the
proposed collection of information to for applying for benefits are prescribed information needed to pay death
determine (1) the practical utility of the in 20 CFR 217, 219, and 234. benefits and annuities due but unpaid at
collection; (2) the accuracy of the The collection obtains the information death under the Railroad Retirement
estimated burden of the collection; (3) required by the RRB to determine Act. Benefits are paid to designated
ways to enhance the quality, utility, and entitlement to and amount of the beneficiaries or to survivors in a priority
clarity of the information that is the survivor death benefits applied for. To designated law.
subject of collection; and (4) ways to collect the information, the RRB uses Changes proposed: The RRB proposes
minimize the burden of collections on Forms AA–11a, Designation for Change the following changes to the forms in
respondents, including the use of of Beneficiary for Residual Lump-Sum; the information collection:
automated collection techniques or AA–21, Application for Lump-Sum • Form AA–11a—Remove from the
other forms of information technology. Death Payment and Annuities Unpaid information collection due to less than
Comments to the RRB or OIRA must at Death; AA–21cert, Application 10 responses a year.
contain the OMB control number of the Summary and Certification; G–131, • Form AA–21—Add clarifying
ICR. For proper consideration of your Authorization of Payment and Release language to better define who qualifies
comments, it is best if the RRB and of All Claims to a Death Benefit or
for a child’s annuity and other minor
OIRA receive them within 30 days of Accrued Annuity Payment; and G–273a,
editorial changes.
Funeral Director’s Statement of Burial
the publication date. • Form G–131—For clarity, add an
Charges. One response is requested of
Under Section 6 of the Railroad Instructions section and space for the
each respondent. Completion is
Retirement Act (RRA), lump-sum death RRB to enter the applicant’s name and
required to obtain benefits.
benefits are payable to surviving Previous Requests for Comments: The the waived share amount.
widow(er)s, children, and certain other RRB has already published the initial • Form G–273a—Add clarifying
dependents. Lump-sum death benefits 60-day notice (80 FR 44402 on July 27, language to Item 2, regarding the total
are payable after the death of a railroad 2015) required by 44 U.S.C. 3506(c)(2). amount of charges the funeral home
employee only if there are no qualified That request elicited no comments. should enter; and what the funeral
survivors of the employee immediately home should list as types of payments
eligible for annuities. With the Information Collection Request (ICR) received or expected to be received to
exception of the residual death benefit, Title: Application for Survivor Death Item 3.
eligibility for survivor benefits depends Benefits. The burden estimate for the ICR is as
on whether the deceased employee was OMB Control Number: 3220–0031. follows:
Annual Time Burden
Form No. responses (minutes) (hours)
AA–21 (without assistance) ......................................................................................................... 200 40 133
AA–21cert (with assistance) ........................................................................................................ 3,500 20 1,167
G–131 .......................................................................................................................................... 100 5 8
G–273a ........................................................................................................................................ 4,000 10 667
Total ...................................................................................................................................... 7,800 ........................ 1,975
Additional Information or Comments: SECURITIES AND EXCHANGE 19(b)(1) of the Securities Exchange Act
Copies of the forms and supporting COMMISSION of 1934 (‘‘Act’’) 1 and Rule 19b–4
documents can be obtained from Dana [Release No. 34–75970; File No. SR–BATS–
thereunder,2 a proposed rule change to
Hickman at (312) 751–4981 or 2015–57] adopt an expedited proceeding for
Dana.Hickman@RRB.GOV. issuing suspension orders, and if
Comments regarding the information Self-Regulatory Organizations; BATS necessary, imposing other sanctions, to
collection should be addressed to Exchange, Inc.; Notice of Designation prohibit Exchange Members, or their
Charles Mierzwa, Railroad Retirement of a Longer Period for Commission clients, from engaging in trading
Board, 844 North Rush Street, Chicago, Action on a Proposed Rule Change, as activities that constitute continued
Modified by Amendment No. 1 Thereto, layering or spoofing on the Exchange.
Illinois 60611–2092 or
To Adopt New Rule 8.17 To Provide a On August 11, 2015, the Exchange filed
Charles.Mierzwa@RRB.GOV and to the
Process for an Expedited Suspension Amendment No. 1 to the proposal.3 The
OMB Desk Officer for the RRB, Fax:
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Proceeding and Rule 12.15 To Prohibit proposed rule change, as modified by
202–395–6974, Email address: OIRA_ Layering and Spoofing on BATS
Submission@omb.eop.gov. Amendment No. 1, was published for
Exchange, Inc. comment in the Federal Register on
Charles Mierzwa, September 23, 2015.
Chief of Information Resources Management. On July 30, 2015, BATS Exchange, 1 15 U.S.C. 78s(b)(1).
[FR Doc. 2015–24641 Filed 9–28–15; 8:45 am] Inc. (‘‘Exchange’’) filed with the 2 17 CFR 240.19b–4.
BILLING CODE 7905–01–P Securities and Exchange Commission 3 Amendment No. 1 amended and replaced the
(‘‘Commission’’), pursuant to Section original proposal in its entirety.
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Document Created: 2015-12-15 09:46:39
Document Modified: 2015-12-15 09:46:39
| 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 58526 |
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