80 FR 75140 - Proposed Collection; Comment Request
RAILROAD RETIREMENT BOARD Federal Register Volume 80, Issue 230 (December 1, 2015)
Federal Register Volume 80, Issue 230 (December 1, 2015)
| Page Range | 75140-75141 | |
| FR Document | 2015-30443 |
[Federal Register Volume 80, Number 230 (Tuesday, December 1, 2015)] [Notices] [Pages 75140-75141] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-30443] ======================================================================= ----------------------------------------------------------------------- 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. 1. Title and purpose of information collection: Application for Survivor Insurance Annuities; OMB 3220-0030. Under Section 2(d) of the Railroad Retirement Act (RRA), monthly survivor annuities are payable to surviving widow(er)s, parents, unmarried children, and in certain cases, divorced spouses, mothers (fathers), remarried widow(er)s, and grandchildren of deceased railroad employees if there are no qualified survivors of the employee immediately eligible for an annuity. The requirements relating to the annuities are prescribed in 20 CFR 216, 217, 218, and 219. To collect the information needed to help determine an applicant's entitlement to, and the amount of, a survivor annuity the RRB uses Forms AA-17, Application for Widow(er)'s Annuity; AA-17b, Applications for Determination of Widow(er)'s Disability; AA-18, Application for Mother's/Father's and Child's Annuity; AA-19, Application for Child's Annuity; AA-19a, Application for Determination of Child's Disability; AA-20, Application for Parent's Annuity, and electronic Forms AA- 17cert, Application Summary and Certification and AA-17sum, Application Summary. The on-line automated survivor annuity application (Forms AA-17, AA-18, AA-19, and AA-20) process obtains information about an applicant's marital history, work history, benefits from other government agencies, and Medicare entitlement for a survivor annuity. An RRB representative interviews the applicant either at a field office (preferred), an itinerant point, or by telephone. During the interview, the RRB representative enters the information obtained into an on-line information system. Upon completion of the interview, the system generates, for the applicant's review, either Form AA-17cert or AA- 17sum, which provides a summary of the information that the applicant provided or verified. Form AA-17cert, Application Summary and Certification, requires a tradition pen and ink ``wet'' signature. Form AA-17sum, Application Summary, documents the alternate signing method called ``Attestation,'' which is an action taken by the RRB representative to confirm and annotate in the RRB records (1) the applicant's intent to file an application; (2) the applicant's affirmation under penalty of perjury that the information provided is correct; and (3) the applicant's agreement to sign the application by proxy. When the RRB representative is unable to contact the applicant in person or by telephone, for example, the applicant lives in another country, a manual version of the appropriate form is used. One response is requested of each respondent. Completion of the forms is required to obtain a benefit. The RRB proposes to remove the paper version of Forms AA-17, AA-18, AA-19, and AA-20 from the information collection due to receiving less than 10 responses a year. No changes are proposed to electronic Forms AA-17cert, AA-17sum, or manual Forms AA-17b and AA-19a. [[Page 75141]] Estimate of Annual Respondent Burden ---------------------------------------------------------------------------------------------------------------- Annual Time Burden Form number responses (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- AA-17 Application Process AA-17cert................................................... 900 20 300 AA-17sum.................................................... 2,100 19 665 AA-17b (With assistance)........................................... 250 40 167 (Without assistance)........................................ 20 50 17 AA-19a (With assistance)........................................... 200 45 150 (Without assistance)........................................ 15 65 16 ----------------------------------------------- Total................................................... 3,485 .............. 1,315 ---------------------------------------------------------------------------------------------------------------- 2. Title and purpose of information collection: Application for Spouse Annuity under the Railroad Retirement Act; OMB 3220-0042. Section 2(c) of the Railroad Retirement Act (RRA), provides for the payment of annuities to spouses of railroad retirement annuitants who meet the requirements under the RRA. The age requirements for a spouse annuity depend on the employee's age, date of retirement, and years of railroad service. The requirements relating to the annuities are prescribed in 20 CFR 216, 218, 219, 232, 234, and 295. To collect the information needed to help determine an applicant's entitlement to, and the amount of, a spouse annuity the RRB uses Form AA-3, Application for Spouse/Divorced Spouse Annuity, and electronic Forms AA-3cert, Application Summary and Certification, and AA-3sum, Application Summary. The AA-3 application process gathers information from an applicant about their marital history, work history, benefits from other government agencies, and Medicare entitlement for a spouse annuity. An RRB representative interviews the applicant either at a field office (preferred), an itinerant point, or by telephone. During the interview, the RRB representative enters the information obtained into an on-line information system. Upon completion of the interview, the system generates, for the applicant's review, either Form AA-3cert or AA-3sum, which is a summary of the information that the applicant provided or verified. Form AA-3cert, Application Summary and Certification, requires a traditional pen and ink ``wet'' signature. Form AA-3sum, Application Summary, documents an alternate signing method called ``Attestation,'' which is an action taken by the RRB representative to confirm and annotate in the RRB records (1) the applicant's intent to file an application; (2) the applicant's affirmation under penalty of perjury that the information provided is correct; and (3) the applicant's agreement to sign the application by proxy. When the RRB representative is unable to contact the applicant in person or by telephone, for example, the applicant lives in another country, a manual version of Form AA-3 is used. One response is requested of each respondent. Completion of the form is required to obtain a benefit. The RRB proposes to remove the paper version of the AA-3 from the information collection due to receiving less than 10 responses a year. Estimate of Annual Respondent Burden ---------------------------------------------------------------------------------------------------------------- Annual Time Burden Form number responses (minutes) (hours) ---------------------------------------------------------------------------------------------------------------- Form AA-3 Online Process Form AA-3cert (Ink Signature)............................... 4,700 30 2,350 Form AA-3sum (Attestation).................................. 7,000 29 3,383 ----------------------------------------------- Total................................................... 11,700 .............. 5,733 ---------------------------------------------------------------------------------------------------------------- Additional Information or Comments: To request more information or to obtain a copy of the information collection justification, forms, and/or supporting material, contact 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 emailed to [email protected]. Written comments should be received within 60 days of this notice. Charles Mierzwa, Chief of Information Resources Management. [FR Doc. 2015-30443 Filed 11-30-15; 8:45 am] BILLING CODE 7905-01-P
![75140 Federal Register / Vol. 80, No. 230 / Tuesday, December 1, 2015 / Notices
gives notice that, pursuant to 39 U.S.C. DATES: Effective date: December 1, 2015. To collect the information needed to
3642 and 3632(b)(3), on November 24, FOR FURTHER INFORMATION CONTACT: help determine an applicant’s
2015, it filed with the Postal Regulatory Elizabeth A. Reed, 202–268–3179. entitlement to, and the amount of, a
Commission a Request of the United SUPPLEMENTARY INFORMATION: The survivor annuity the RRB uses Forms
States Postal Service to Add Priority United States Postal Service® hereby AA–17, Application for Widow(er)’s
Mail Express, Priority Mail, & First-Class gives notice that, pursuant to 39 U.S.C. Annuity; AA–17b, Applications for
Package Service Contract 6 to Determination of Widow(er)’s Disability;
3642 and 3632(b)(3), on November 24,
Competitive Product List. Documents AA–18, Application for Mother’s/
2015, it filed with the Postal Regulatory
are available at www.prc.gov, Docket Father’s and Child’s Annuity; AA–19,
Commission a Request of the United
Nos. MC2016–21, CP2016–27. Application for Child’s Annuity; AA–
States Postal Service to Add Priority
Stanley F. Mires, Mail Contract 154 to Competitive 19a, Application for Determination of
Product List. Documents are available at Child’s Disability; AA–20, Application
Attorney, Federal Compliance.
www.prc.gov, Docket Nos. MC2016–18, for Parent’s Annuity, and electronic
[FR Doc. 2015–30362 Filed 11–30–15; 8:45 am]
CP2016–24. Forms AA–17cert, Application
BILLING CODE 7710–12–P
Summary and Certification and AA–
Stanley F. Mires, 17sum, Application Summary.
Attorney, Federal Compliance. The on-line automated survivor
POSTAL SERVICE
[FR Doc. 2015–30367 Filed 11–30–15; 8:45 am] annuity application (Forms AA–17,
Product Change—Priority Mail BILLING CODE 7710–12–P AA–18, AA–19, and AA–20) process
Negotiated Service Agreement obtains information about an applicant’s
marital history, work history, benefits
AGENCY: Postal ServiceTM.
from other government agencies, and
ACTION: Notice. RAILROAD RETIREMENT BOARD Medicare entitlement for a survivor
SUMMARY: The Postal Service gives annuity. An RRB representative
Proposed Collection; Comment interviews the applicant either at a field
notice of filing a request with the Postal Request
Regulatory Commission to add a office (preferred), an itinerant point, or
domestic shipping services contract to Summary: In accordance with the by telephone. During the interview, the
the list of Negotiated Service requirement of Section 3506 (c)(2)(A) of RRB representative enters the
Agreements in the Mail Classification the Paperwork Reduction Act of 1995 information obtained into an on-line
Schedule’s Competitive Products List. which provides opportunity for public information system. Upon completion of
DATES: Effective date: December 1, 2015. comment on new or revised data the interview, the system generates, for
collections, the Railroad Retirement the applicant’s review, either Form AA–
FOR FURTHER INFORMATION CONTACT:
Board (RRB) will publish periodic 17cert or AA–17sum, which provides a
Elizabeth A. Reed, 202–268–3179.
summaries of proposed data collections. summary of the information that the
SUPPLEMENTARY INFORMATION: The
Comments are invited on: (a) Whether applicant provided or verified. Form
United States Postal Service® hereby AA–17cert, Application Summary and
gives notice that, pursuant to 39 U.S.C. the proposed information collection is
necessary for the proper performance of Certification, requires a tradition pen
3642 and 3632(b)(3), on November 24, and ink ‘‘wet’’ signature. Form AA–
2015, it filed with the Postal Regulatory the functions of the agency, including
whether the information has practical 17sum, Application Summary,
Commission a Request of the United documents the alternate signing method
States Postal Service to Add Priority utility; (b) the accuracy of the RRB’s
estimate of the burden of the collection called ‘‘Attestation,’’ which is an action
Mail Contract 155 to Competitive taken by the RRB representative to
Product List. Documents are available at of the information; (c) ways to enhance
the quality, utility, and clarity of the confirm and annotate in the RRB
www.prc.gov, Docket Nos. MC2016–19, records (1) the applicant’s intent to file
CP2016–25. information to be collected; and (d)
ways to minimize the burden related to an application; (2) the applicant’s
Stanley F. Mires, the collection of information on affirmation under penalty of perjury that
Attorney, Federal Compliance. respondents, including the use of the information provided is correct; and
[FR Doc. 2015–30369 Filed 11–30–15; 8:45 am] automated collection techniques or (3) the applicant’s agreement to sign the
BILLING CODE 7710–12–P other forms of information technology. application by proxy. When the RRB
1. Title and purpose of information representative is unable to contact the
collection: Application for Survivor applicant in person or by telephone, for
POSTAL SERVICE Insurance Annuities; OMB 3220–0030. example, the applicant lives in another
Under Section 2(d) of the Railroad country, a manual version of the
Product Change—Priority Mail Retirement Act (RRA), monthly survivor appropriate form is used. One response
Negotiated Service Agreement annuities are payable to surviving is requested of each respondent.
widow(er)s, parents, unmarried Completion of the forms is required to
AGENCY: Postal ServiceTM.
children, and in certain cases, divorced obtain a benefit.
ACTION: Notice.
spouses, mothers (fathers), remarried The RRB proposes to remove the
SUMMARY: The Postal Service gives widow(er)s, and grandchildren of paper version of Forms AA–17, AA–18,
notice of filing a request with the Postal deceased railroad employees if there are AA–19, and AA–20 from the
Regulatory Commission to add a no qualified survivors of the employee information collection due to receiving
tkelley on DSK3SPTVN1PROD with NOTICES
domestic shipping services contract to immediately eligible for an annuity. The less than 10 responses a year. No
the list of Negotiated Service requirements relating to the annuities changes are proposed to electronic
Agreements in the Mail Classification are prescribed in 20 CFR 216, 217, 218, Forms AA–17cert, AA–17sum, or
Schedule’s Competitive Products List. and 219. manual Forms AA–17b and AA–19a.
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![Federal Register / Vol. 80, No. 230 / Tuesday, December 1, 2015 / Notices 75141
ESTIMATE OF ANNUAL RESPONDENT BURDEN
Annual Time Burden
Form number responses (minutes) (hours)
AA–17 Application Process
AA–17cert ............................................................................................................................. 900 20 300
AA–17sum ............................................................................................................................ 2,100 19 665
AA–17b
(With assistance) .................................................................................................................. 250 40 167
(Without assistance) ............................................................................................................. 20 50 17
AA–19a
(With assistance) .................................................................................................................. 200 45 150
(Without assistance) ............................................................................................................. 15 65 16
Total ............................................................................................................................... 3,485 ........................ 1,315
2. Title and purpose of information Certification, and AA–3sum, 3sum, Application Summary,
collection: Application for Spouse Application Summary. documents an alternate signing method
Annuity under the Railroad Retirement The AA–3 application process gathers called ‘‘Attestation,’’ which is an action
Act; OMB 3220–0042. information from an applicant about taken by the RRB representative to
Section 2(c) of the Railroad their marital history, work history, confirm and annotate in the RRB
Retirement Act (RRA), provides for the benefits from other government records (1) the applicant’s intent to file
payment of annuities to spouses of agencies, and Medicare entitlement for an application; (2) the applicant’s
railroad retirement annuitants who meet a spouse annuity. An RRB affirmation under penalty of perjury that
the requirements under the RRA. The representative interviews the applicant the information provided is correct; and
age requirements for a spouse annuity either at a field office (preferred), an (3) the applicant’s agreement to sign the
depend on the employee’s age, date of itinerant point, or by telephone. During application by proxy. When the RRB
retirement, and years of railroad service. the interview, the RRB representative representative is unable to contact the
The requirements relating to the enters the information obtained into an applicant in person or by telephone, for
annuities are prescribed in 20 CFR 216, on-line information system. Upon example, the applicant lives in another
218, 219, 232, 234, and 295. completion of the interview, the system country, a manual version of Form AA–
To collect the information needed to generates, for the applicant’s review, 3 is used. One response is requested of
help determine an applicant’s either Form AA–3cert or AA–3sum, each respondent. Completion of the
entitlement to, and the amount of, a which is a summary of the information form is required to obtain a benefit.
spouse annuity the RRB uses Form AA– that the applicant provided or verified. The RRB proposes to remove the
3, Application for Spouse/Divorced Form AA–3cert, Application Summary paper version of the AA–3 from the
Spouse Annuity, and electronic Forms and Certification, requires a traditional information collection due to receiving
AA–3cert, Application Summary and pen and ink ‘‘wet’’ signature. Form AA– less than 10 responses a year.
ESTIMATE OF ANNUAL RESPONDENT BURDEN
Annual Time Burden
Form number responses (minutes) (hours)
Form AA–3 Online Process
Form AA–3cert (Ink Signature) ............................................................................................ 4,700 30 2,350
Form AA–3sum (Attestation) ................................................................................................ 7,000 29 3,383
Total ............................................................................................................................... 11,700 ........................ 5,733
Additional Information or Comments: comments should be received within 60 SECURITIES AND EXCHANGE
To request more information or to days of this notice. COMMISSION
obtain a copy of the information
Charles Mierzwa,
collection justification, forms, and/or [Release No. 34–76524; File No. SR–BATS–
supporting material, contact Dana Chief of Information Resources Management.
2015–102]
Hickman at (312) 751–4981 or [FR Doc. 2015–30443 Filed 11–30–15; 8:45 am]
Dana.Hickman@RRB.GOV. Comments BILLING CODE 7905–01–P Self-Regulatory Organizations; BATS
regarding the information collection Exchange, Inc.; Notice of Filing of a
should be addressed to Charles Proposed Rule Change To Adopt Rule
Mierzwa, Railroad Retirement Board, 11.27 Regarding the Data Collection
tkelley on DSK3SPTVN1PROD with NOTICES
844 North Rush Street, Chicago, Illinois Requirements of the Tick Size Pilot
60611–2092 or emailed to Program
Charles.Mierzwa@RRB.GOV. Written
November 25, 2015.
Pursuant to Section 19(b)(1) of the
Securities Exchange Act of 1934 (the
VerDate Sep<11>2014 23:35 Nov 30, 2015 Jkt 238001 PO 00000 Frm 00099 Fmt 4703 Sfmt 4703 E:\FR\FM\01DEN1.SGM 01DEN1](https://thefederalregister.org/doc/80_FR_75370/page/2.svg)
Document Created: 2018-03-02 09:10:44
Document Modified: 2018-03-02 09:10:44
| 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 75140 |
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