81 FR 67015 - Agency Forms Submitted for OMB Review, Request for Comments
RAILROAD RETIREMENT BOARD Federal Register Volume 81, Issue 189 (September 29, 2016)
Federal Register Volume 81, Issue 189 (September 29, 2016)
| Page Range | 67015-67016 | |
| FR Document | 2016-23526 |
[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] ======================================================================= ----------------------------------------------------------------------- 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
![Federal Register / Vol. 81, No. 189 / Thursday, September 29, 2016 / Notices 67015
POSTAL SERVICE www.prc.gov, Docket Nos. MC2016–203, 3642 and 3632(b)(3), on September 23,
CP2016–292. 2016, it filed with the Postal Regulatory
Product Change—Priority Mail Commission a Request of the United
Negotiated Service Agreement Stanley F. Mires,
States Postal Service to Add Priority
Attorney, Federal Compliance. Mail Contract 243 to Competitive
AGENCY: Postal ServiceTM. [FR Doc. 2016–23511 Filed 9–28–16; 8:45 am] Product List. Documents are available at
ACTION: Notice. BILLING CODE 7710–12–P www.prc.gov, Docket Nos. MC2016–204,
CP2016–293.
SUMMARY: The Postal Service gives POSTAL SERVICE Stanley F. Mires,
notice of filing a request with the Postal Attorney, Federal Compliance.
Regulatory Commission to add a Product Change—Priority Mail Express [FR Doc. 2016–23510 Filed 9–28–16; 8:45 am]
domestic shipping services contract to and Priority Mail Negotiated Service BILLING CODE 7710–12–P
the list of Negotiated Service Agreement
Agreements in the Mail Classification
Schedule’s Competitive Products List. AGENCY: Postal ServiceTM.
ACTION: Notice. RAILROAD RETIREMENT BOARD
DATES: Effective date: September 29,
2016. SUMMARY: The Postal Service gives Agency Forms Submitted for OMB
notice of filing a request with the Postal Review, Request for Comments
FOR FURTHER INFORMATION CONTACT:
Regulatory Commission to add a Summary: In accordance with the
Elizabeth A. Reed, 202–268–3179.
domestic shipping services contract to Paperwork Reduction Act of 1995 (44
SUPPLEMENTARY INFORMATION: The the list of Negotiated Service U.S.C. Chapter 35), the Railroad
United States Postal Service® hereby Agreements in the Mail Classification Retirement Board (RRB) is forwarding
gives notice that, pursuant to 39 U.S.C. Schedule’s Competitive Products List. an Information Collection Request (ICR)
3642 and 3632(b)(3), on September 23, DATES: Effective date: September 29, to the Office of Information and
2016, it filed with the Postal Regulatory 2016. Regulatory Affairs (OIRA), Office of
Commission a Request of the United Management and Budget (OMB). Our
FOR FURTHER INFORMATION CONTACT:
States Postal Service to Add Priority ICR describes the information we seek
Mail Contract 241 to Competitive Elizabeth A. Reed, 202–268–3179.
SUPPLEMENTARY INFORMATION: The to collect from the public. Review and
Product List. Documents are available at approval by OIRA ensures that we
www.prc.gov, Docket Nos. MC2016–202, United States Postal Service® hereby
gives notice that, pursuant to 39 U.S.C. impose appropriate paperwork burdens.
CP2016–291. The RRB invites comments on the
3642 and 3632(b)(3), on September 23,
Stanley F. Mires, 2016, it filed with the Postal Regulatory proposed collection of information to
Attorney, Federal Compliance. Commission a Request of the United determine (1) the practical utility of the
[FR Doc. 2016–23512 Filed 9–28–16; 8:45 am] States Postal Service to Add Priority collection; (2) the accuracy of the
BILLING CODE 7710–12–P Mail Express & Priority Mail Contract 35 estimated burden of the collection; (3)
to Competitive Product List. Documents ways to enhance the quality, utility, and
are available at www.prc.gov, Docket clarity of the information that is the
POSTAL SERVICE Nos. MC2016–205, CP2016–294. subject of collection; and (4) ways to
minimize the burden of collections on
Product Change—Priority Mail Stanley F. Mires, respondents, including the use of
Negotiated Service Agreement Attorney, Federal Compliance. automated collection techniques or
[FR Doc. 2016–23509 Filed 9–28–16; 8:45 am] other forms of information technology.
AGENCY: Postal ServiceTM. BILLING CODE 7710–12–P Comments to the RRB or OIRA must
ACTION: Notice. contain the OMB control number of the
ICR. For proper consideration of your
SUMMARY: The Postal Service gives POSTAL SERVICE comments, it is best if the RRB and
notice of filing a request with the Postal OIRA receive them within 30 days of
Product Change—Priority Mail the publication date.
Regulatory Commission to add a Negotiated Service Agreement
domestic shipping services contract to Title and purpose of information
the list of Negotiated Service AGENCY: Postal ServiceTM. collection: Application for Employee
Agreements in the Mail Classification Annuity Under the Railroad Retirement
ACTION: Notice.
Schedule’s Competitive Products List. Act; OMB 3220–0002.
SUMMARY: The Postal Service gives Section 2a of the Railroad Retirement
DATES: Effective date: September 29, notice of filing a request with the Postal Act (RRA) provides for payments of age
2016. Regulatory Commission to add a and service, disability, and
domestic shipping services contract to supplemental annuities to qualified
FOR FURTHER INFORMATION CONTACT:
the list of Negotiated Service employees. An annuity cannot be paid
Elizabeth A. Reed, 202–268–3179.
Agreements in the Mail Classification until the employee stops working for a
SUPPLEMENTARY INFORMATION: The Schedule’s Competitive Products List. railroad employer. In addition, the age
United States Postal Service® hereby and service employee must relinquish
mstockstill on DSK3G9T082PROD with NOTICES
DATES: Effective date: September 29,
gives notice that, pursuant to 39 U.S.C. 2016. any rights held to such jobs. A disabled
3642 and 3632(b)(3), on September 23, employee does not need to relinquish
2016, it filed with the Postal Regulatory FOR FURTHER INFORMATION CONTACT: employee rights until attaining Full
Commission a Request of the United Elizabeth A. Reed, 202–268–3179. Retirement Age, or if earlier, when their
States Postal Service to Add Priority SUPPLEMENTARY INFORMATION: The spouse is awarded a spouse annuity.
Mail Contract 242 to Competitive United States Postal Service® hereby Benefits become payable after the
Product List. Documents are available at gives notice that, pursuant to 39 U.S.C. employee meets certain other
VerDate Sep<11>2014 18:51 Sep 28, 2016 Jkt 238001 PO 00000 Frm 00097 Fmt 4703 Sfmt 4703 E:\FR\FM\29SEN1.SGM 29SEN1](https://thefederalregister.org/doc/81_FR_67204/page/1.svg)
![67016 Federal Register / Vol. 81, No. 189 / Thursday, September 29, 2016 / Notices
requirements, which depend on the type traditional pen and ink ‘‘wet’’ signature, Affected public: Individuals or
of annuity payable. The requirements and Form AA–1sum documents Households.
for obtaining the annuities are approval using the alternative signature Abstract: The Railroad Retirement Act
prescribed in 20 CFR 216 and 220. method called Attestation. When the provides for payment of age, disability
To collect the information needed to RRB representative is unable to contact and supplemental annuities to qualified
help determine an applicant’s the applicant in person or by telephone, employees. The application and related
entitlement to, and the amount of, an for example, the applicant lives in forms obtain information about the
employee retirement annuity the RRB another country, a manual version of applicant’s family work history, military
uses Forms AA–1, Application for Form AA–1 is used. service, disability benefits from other
Employee Annuity; AA–1d, Application Form AA–1d, Application for government agencies and public or
for Determination of Employee Determination of Employee’s Disability, private pensions. The information is
Disability; G–204, Verification of is completed by an employee who is used to determine entitlement to and
Workers Compensation/Public filing for a disability annuity under the the amount of the annuity applied for.
Disability Benefit Information, and RRA, or a disability freeze under the
electronic Forms AA–1cert, Application Changes proposed: The RRB proposes
Social Security Act for early Medicare
Summary and Certification, and AA– the following changes to Forms AA–1
based on a disability. Form G–204,
1sum, Application Summary. and AA–1d:
Verification of Worker’s Compensation/
The AA–1 application process obtains Public Disability Benefit Information, is • Deletion of Item 35a-d from Form
information from an applicant about used to obtain and verify information AA–1, regarding the relinquishment of
their marital history, work history, concerning a worker’s compensation or seniority rights;
military service, benefits from other a public disability benefit that is or will • the relocation of current Items 52–
governmental agencies, railroad be paid by a public agency to a disabled 53 from Form AA–1d to proposed Items
pensions and Medicare entitlement for railroad employee. 48a-b on Form AA–1, regarding whether
either an age and service or disability One response is requested of each an applicant had filed or expected to file
annuity. An RRB representative respondent. Completion of the forms is a lawsuit or claim against a person or
interviews the applicant either at a field required to obtain/retain a benefit. company for a personal injury that
office, an itinerant point, or by Previous Requests for Comments: The resulted in the payment of sickness
telephone. During the interview, the RRB has already published the initial benefits by the RRB, as the potential for
RRB representative enters the 60-day notice (81 FR 47183 on July 20, uncollected sickness benefits can apply
information obtained into an on-line 2016) required by 44 U.S.C. 3506(c)(2). to both a disability applicant as well as
information system. Upon completion of That request elicited no comments. an applicant qualified for an age and
the interview, the on-line information Title: Application for Employee service annuity.
system generates Form AA–1cert, Annuity Under the Railroad Retirement
Application Summary and Certification, • Comparable revisions to electronic
Act. equivalent forms (AA–1cert and AA–
or Form AA–1sum, Application OMB Control Number: 3220–0002.
Summary, a summary of the information 1sum) are also being proposed.
Form(s) submitted: AA–1, AA–1cert,
that was provided for the applicant to AA–1d, AA–1sum and G–204. No other changes are proposed.
review and approve. Form AA–1cert Type of request: Revision of a The burden estimate for the ICR is as
documents approval using the currently approved collection. follows:
Annual Time Burden
Form No. responses (minutes) (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: 202–395–6974, Email address: OIRA_ SECURITIES AND EXCHANGE
Copies of the forms and supporting Submission@omb.eop.gov. COMMISSION
documents can be obtained from Dana
Charles Mierzwa,
Hickman at (312) 751–4981 or [Release No. 34–78919; File No. SR–MIAX–
Dana.Hickman@RRB.GOV. Associate Chief Information Officer for Policy 2016–32]
and Compliance.
Comments regarding the information [FR Doc. 2016–23526 Filed 9–28–16; 8:45 am] Self-Regulatory Organizations; Miami
collection should be addressed to International Securities Exchange LLC;
BILLING CODE 7905–01–P
Charles Mierzwa, Railroad Retirement Notice of Filing and Immediate
Board, 844 North Rush Street, Chicago,
mstockstill on DSK3G9T082PROD with NOTICES
Effectiveness of Proposed Rule
Illinois, 60611–1275 or Change To Amend Its Fee Schedule To
Charles.Mierzwa@RRB.GOV and to the Modify the Exchange’s Connectivity
OMB Desk Officer for the RRB, Fax: Fees
September 23, 2016.
Pursuant to the provisions of Section
19(b)(1) of the Securities Exchange Act
VerDate Sep<11>2014 18:51 Sep 28, 2016 Jkt 238001 PO 00000 Frm 00098 Fmt 4703 Sfmt 4703 E:\FR\FM\29SEN1.SGM 29SEN1](https://thefederalregister.org/doc/81_FR_67204/page/2.svg)
Document Created: 2016-09-29 04:14:15
Document Modified: 2016-09-29 04:14:15
| 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 | 81 FR 67015 |
2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR