[Federal Register Volume 75, Number 59 (Monday, March 29, 2010)]
[Notices]
[Pages 15464-15465]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-6906]
=======================================================================
-----------------------------------------------------------------------
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.
Title and Purpose of Information Collection
Application and Claim for Sickness Insurance Benefits; OMB 3220-0039
Under section 2 of the Railroad Unemployment Insurance Act (RUIA),
sickness benefits are payable to qualified railroad employees who are
unable to work because of illness or injury. In addition, sickness
benefits are payable to qualified female employees if they are unable
to work, or if working would be injurious, because of pregnancy,
miscarriage or childbirth. Under section 1(k) of the RUIA, a statement
of sickness with respect to days of sickness of an employee is to be
filed with the RRB within a 10-day period from the first day claimed as
a day of sickness. The RRB's authority for requesting supplemental
medical information is section 12(i) and 12(n) of the RUIA. The
procedures for claiming sickness benefits and for the RRB to obtain
supplemental medical information needed to determine a claimant's
eligibility for such benefits are prescribed in 20 CFR part 335.
The forms currently used by the RRB to obtain information needed to
determine eligibility for and the amount of sickness benefits due a
claimant follows: Form SI-1a, Application for Sickness Benefits; Form
SI-1b, Statement of Sickness; Form SI-3, Claim for Sickness Benefits;
Form SI-7, Supplemental Doctor's Statement; Form SI-8, Verification of
Medical Information; Form ID-7h, Non-Entitlement to Sickness Benefits
and Information on Unemployment Benefits; Form ID-11a, Requesting
Reason for Late Filing of Sickness Benefit and ID-11b, Notice of
Insufficient Medical and Late Filing. Completion is required to obtain
or retain benefits. One response is requested of each respondent.
The RRB proposes the addition an equivalent Internet version of
Form SI-3, Claim for Sickness Benefits to the information collection.
The Internet equivalent Form SI-3 will essentially mirror the manual
RRB Form SI-3 currently in use, but will also provide the claimant the
ability to change their direct deposit information in addition to the
ability to complete and file the claim via the Internet. No other
changes are proposed.
Estimate of Annual Respondent Burden
The estimated annual respondent burden is as follows:
----------------------------------------------------------------------------------------------------------------
Annual
Form (s) responses Time(min) Burden (hrs)
----------------------------------------------------------------------------------------------------------------
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
ID-11A.......................................................... 800 4 53
ID-11B.......................................................... 1,000 4 67
-----------------------------------------------
Total....................................................... 197,500 .............. 19,825
----------------------------------------------------------------------------------------------------------------
Additional Information or Comments: To request more information or
to obtain a copy of the information collection justification, forms,
and/or supporting material, please call the RRB Clearance Officer at
(312) 751-3363 or send an e-mail request to [email protected].
Comments regarding the information collection
[[Page 15465]]
should be addressed to Patricia A. Henaghan, Railroad Retirement Board,
844 North Rush Street, Chicago, Illinois 60611-2092 or by e-mail to
[email protected]. Written comments should be received within
60 days of this notice.
Charles Mierzwa,
RRB Clearance Officer.
[FR Doc. 2010-6906 Filed 3-26-10; 8:45 am]
BILLING CODE 7905-01-P