81 FR 67015 - Agency Forms Submitted for OMB Review, Request for Comments

RAILROAD RETIREMENT BOARD

Federal Register Volume 81, Issue 189 (September 29, 2016)

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 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 Employee Annuity Under the Railroad Retirement Act; OMB 3220-0002. Section 2a of the Railroad Retirement Act (RRA) provides for payments of age and service, disability, and supplemental annuities to qualified employees. An annuity cannot be paid until the employee stops working for a railroad employer. In addition, the age and service employee must relinquish any rights held to such jobs. A disabled employee does not need to relinquish employee rights until attaining Full Retirement Age, or if earlier, when their spouse is awarded a spouse annuity. Benefits become payable after the employee meets certain other requirements, which depend on the type of annuity payable. The requirements for obtaining the annuities are prescribed in 20 CFR 216 and 220. To collect the information needed to help determine an applicant's entitlement to, and the amount of, an employee retirement annuity the RRB uses Forms AA-1, Application for Employee Annuity; AA-1d, Application for Determination of Employee Disability; G-204, Verification of Workers Compensation/Public Disability Benefit Information, and electronic Forms AA-1cert, Application Summary and Certification, and AA-1sum, Application Summary. The AA-1 application process obtains information from an applicant about their marital history, work history, military service, benefits from other governmental agencies, railroad pensions and Medicare entitlement for either an age and service or disability annuity. An RRB representative interviews the applicant either at a field office, 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 on-line information system generates Form AA-1cert, Application Summary and Certification, or Form AA-1sum, Application Summary, a summary of the information that was provided for the applicant to review and approve. Form AA-1cert documents approval using the traditional pen and ink ``wet'' signature, and Form AA-1sum documents approval using the alternative signature method called Attestation. 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-1 is used. Form AA-1d, Application for Determination of Employee's Disability, is completed by an employee who is filing for a disability annuity under the RRA, or a disability freeze under the Social Security Act for early Medicare based on a disability. Form G-204, Verification of Worker's Compensation/Public Disability Benefit Information, is used to obtain and verify information concerning a worker's compensation or a public disability benefit that is or will be paid by a public agency to a disabled railroad employee. One response is requested of each respondent. Completion of the forms is required to obtain/retain a benefit. Previous Requests for Comments: The RRB has already published the initial 60-day notice (81 FR 47183 on July 20, 2016) required by 44 U.S.C. 3506(c)(2). That request elicited no comments. Title: Application for Employee Annuity Under the Railroad Retirement Act. OMB Control Number: 3220-0002. Form(s) submitted: AA-1, AA-1cert, AA-1d, AA-1sum and G-204. Type of request: Revision of a currently approved collection. Affected public: Individuals or Households. Abstract: The Railroad Retirement Act provides for payment of age, disability and supplemental annuities to qualified employees. The application and related forms obtain information about the applicant's family work history, military service, disability benefits from other government agencies and public or private pensions. The information is used to determine entitlement to and the amount of the annuity applied for. Changes proposed: The RRB proposes the following changes to Forms AA-1 and AA-1d: <bullet> Deletion of Item 35a-d from Form AA-1, regarding the relinquishment of seniority rights; <bullet> the relocation of current Items 52-53 from Form AA-1d to proposed Items 48a-b on Form AA-1, regarding whether an applicant had filed or expected to file a lawsuit or claim against a person or company for a personal injury that resulted in the payment of sickness benefits by the RRB, as the potential for uncollected sickness benefits can apply to both a disability applicant as well as an applicant qualified for an age and service annuity. <bullet> Comparable revisions to electronic equivalent forms (AA- 1cert and AA-1sum) are also being proposed. No other changes are proposed. The burden estimate for the ICR is as follows:

[Federal Register Volume 81, Number 189 (Thursday, September 29, 2016)]
[Notices]
[Pages 67015-67016]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-23526]


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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 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.
    Title and purpose of information collection: Application for 
Employee Annuity Under the Railroad Retirement Act; OMB 3220-0002.
    Section 2a of the Railroad Retirement Act (RRA) provides for 
payments of age and service, disability, and supplemental annuities to 
qualified employees. An annuity cannot be paid until the employee stops 
working for a railroad employer. In addition, the age and service 
employee must relinquish any rights held to such jobs. A disabled 
employee does not need to relinquish employee rights until attaining 
Full Retirement Age, or if earlier, when their spouse is awarded a 
spouse annuity. Benefits become payable after the employee meets 
certain other

[[Page 67016]]

requirements, which depend on the type of annuity payable. The 
requirements for obtaining the annuities are prescribed in 20 CFR 216 
and 220.
    To collect the information needed to help determine an applicant's 
entitlement to, and the amount of, an employee retirement annuity the 
RRB uses Forms AA-1, Application for Employee Annuity; AA-1d, 
Application for Determination of Employee Disability; G-204, 
Verification of Workers Compensation/Public Disability Benefit 
Information, and electronic Forms AA-1cert, Application Summary and 
Certification, and AA-1sum, Application Summary.
    The AA-1 application process obtains information from an applicant 
about their marital history, work history, military service, benefits 
from other governmental agencies, railroad pensions and Medicare 
entitlement for either an age and service or disability annuity. An RRB 
representative interviews the applicant either at a field office, 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 on-line 
information system generates Form AA-1cert, Application Summary and 
Certification, or Form AA-1sum, Application Summary, a summary of the 
information that was provided for the applicant to review and approve. 
Form AA-1cert documents approval using the traditional pen and ink 
``wet'' signature, and Form AA-1sum documents approval using the 
alternative signature method called Attestation. 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-1 is used.
    Form AA-1d, Application for Determination of Employee's Disability, 
is completed by an employee who is filing for a disability annuity 
under the RRA, or a disability freeze under the Social Security Act for 
early Medicare based on a disability. Form G-204, Verification of 
Worker's Compensation/Public Disability Benefit Information, is used to 
obtain and verify information concerning a worker's compensation or a 
public disability benefit that is or will be paid by a public agency to 
a disabled railroad employee.
    One response is requested of each respondent. Completion of the 
forms is required to obtain/retain a benefit.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (81 FR 47183 on July 20, 2016) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.
    Title: Application for Employee Annuity Under the Railroad 
Retirement Act.
    OMB Control Number: 3220-0002.
    Form(s) submitted: AA-1, AA-1cert, AA-1d, AA-1sum and G-204.
    Type of request: Revision of a currently approved collection.
    Affected public: Individuals or Households.
    Abstract: The Railroad Retirement Act provides for payment of age, 
disability and supplemental annuities to qualified employees. The 
application and related forms obtain information about the applicant's 
family work history, military service, disability benefits from other 
government agencies and public or private pensions. The information is 
used to determine entitlement to and the amount of the annuity applied 
for.
    Changes proposed: The RRB proposes the following changes to Forms 
AA-1 and AA-1d:
     Deletion of Item 35a-d from Form AA-1, regarding the 
relinquishment of seniority rights;
     the relocation of current Items 52-53 from Form AA-1d to 
proposed Items 48a-b on Form AA-1, regarding whether an applicant had 
filed or expected to file a lawsuit or claim against a person or 
company for a personal injury that resulted in the payment of sickness 
benefits by the RRB, as the potential for uncollected sickness benefits 
can apply to both a disability applicant as well as an applicant 
qualified for an age and service annuity.
     Comparable revisions to electronic equivalent forms (AA-
1cert and AA-1sum) are also being proposed.
    No other changes are proposed.
    The burden estimate for the ICR is as follows:

----------------------------------------------------------------------------------------------------------------
                                                                      Annual
                            Form No.                                 responses    Time (minutes)  Burden (hours)
----------------------------------------------------------------------------------------------------------------
AA-1 (without assistance).......................................             100              62             103
AA-1cert (with assistance)......................................           4,620              30           2,310
AA-1sum (with assistance).......................................           8,000              29           3,867
AA-1d (with assistance).........................................           2,600              60           2,600
AA-1d (without assistance)......................................               5              85               7
G-204...........................................................              20              15               5
                                                                 -----------------------------------------------
    Total.......................................................          15,345  ..............           8,892
----------------------------------------------------------------------------------------------------------------

    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, 60611-1275 or [email protected] and to the OMB 
Desk Officer for the RRB, Fax: 202-395-6974, Email address: 
[email protected].

Charles Mierzwa,
Associate Chief Information Officer for Policy and Compliance.
[FR Doc. 2016-23526 Filed 9-28-16; 8:45 am]
 BILLING CODE 7905-01-P