[Federal Register Volume 75, Number 139 (Wednesday, July 21, 2010)]
[Notices]
[Pages 42469-42470]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-17811]
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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) to
request a revision to a currently approved collection of information:
OMB 3220-0039, RUIA Applications, consisting of RRB Form(s) S1-1a,
Application for Sickness Benefits; SI-1b, Statement of Sickness; SI-3,
Claim for Sickness Benefits; SI-7, Supplemental Doctor's Statement; SI-
8, Verification of Medical Information; ID-7h, Non-Entitlement to
Sickness Benefits; ID-11a, Requesting Reason for Late Filing of
Sickness Benefit; and ID-11b, Notice of Insufficient Medical and Late
Filing. Completion of the forms is required to obtain or retain
benefits. A minimum of one response is required of each respondent. 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 RRB or OIRA must
contain the OMB control number of the ICR. For proper consideration of
your comments, it is best if RRB and OIRA receive them within 30 days
of publication date.
Previous Requests for Comments: The RRB has already published the
initial 60-day notice (75 FR No. 59 Pages 15464 on March 29, 2010)
required by 44 U.S.C. 3506(c)(2). That request elicited no comments.
Information Collection Request (ICR)
Title: Railroad Unemployment Insurance Act Applications.
OMB Control Number: 3220-0039.
Expiration date of current OMB clearance: 2/29/2012.
Form(s) submitted: SI-1a, SI-1b, SI-3, SI-3 (Internet), SI-7, SI-8,
ID-7H, ID-11A, ID-11B.
Type of request: Revision of a currently approved collection.
Affected public: Individuals or households, Business or other for-
profit.
Abstract: Under Section 2 of the Railroad Unemployment Insurance
Act, sickness benefits are payable to qualified railroad employees who
are unable to work because of illness or injury. The collection obtains
information from employees and physicians needed to determine
eligibility to and the amount of such benefits.
Changes Proposed: The RRB proposes the addition of an Internet
equivalent SI-3 to the information collection. No other changes are
proposed.
The proposed burden estimate for this ICR is as follows:
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Annual
Form Nos. responses Time (min) Burden (hrs)
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SI-1a..................................................... 17,000 10 2,833
SI-1b (Doctor)............................................ 17,000 8 2,267
SI-3 (manual)............................................. 118,150 5 9,846
SI-3 (Internet)........................................... 20,850 5 1,738
SI-7...................................................... 22,600 8 3,013
SI-8...................................................... 50 5 4
ID-7H..................................................... 50 5 4
[[Page 42470]]
ID-11A.................................................... 800 4 53
ID-11B.................................................... 1,000 4 67
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Total................................................. 197,500 ................ 19,825
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FOR FURTHER INFORMATION CONTACT: Copies of the form and supporting
documents can be obtained from Charles Mierzwa, the agency clearance
officer at (312-751-3363) or [email protected].
Comments regarding the information collection should be addressed
to Patricia Henaghan, Railroad Retirement Board, 844 North Rush Street,
Chicago, Illinois, 60611-2092 or [email protected] and to the
OMB Desk Officer for the RRB, at the Office of Management and Budget,
Room 10230, New Executive Office Building, Washington, DC 20503.
Charles Mierzwa,
Clearance Officer.
[FR Doc. 2010-17811 Filed 7-20-10; 8:45 am]
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