[Federal Register Volume 76, Number 83 (Friday, April 29, 2011)]
[Notices]
[Pages 24066-24067]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-10418]


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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: Certification of 
Termination of Service and Relinquishment of Rights; OMB 3220-0016.
    Under Section 2(e)(2) of the Railroad Retirement Act (RRA), an age 
and service annuity, spouse annuity, or divorced spouse annuity cannot 
be paid unless the Railroad Retirement Board (RRB) has evidence that 
the applicant has ceased railroad employment and relinquished rights to 
return to the service of a railroad employer. Under Section 2(f)(6) of 
the RRA, earnings deductions are required for each month an annuitant 
works in certain non-railroad employment termed Last Pre-Retirement 
Non-Railroad Employment.
    Normally, the employee, spouse, or divorced spouse relinquishes 
rights and certifies that employment has ended as part of the annuity 
application process. However, this is not always the case. In limited 
circumstances, the RRB utilizes Form G-88, Certification of Termination 
of Service and Relinquishment of Rights, to obtain an applicant's 
report of termination of employment and relinquishment of rights. One 
response is required of each respondent. Completion is required to 
obtain or retain benefits. The RRB proposes no changes to Form G-88.

Estimate of Annual Respondent Burden

    The estimated annual respondent burden is as follows:

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                                                                    Annual
                           Form No.                               responses      Time (minutes)   Burden (hours)
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G-88.........................................................           3,600                6              360
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    2. Title and purpose of information collection: Statement of 
Authority to Act for Employee; OMB 3220-0034.
    Under Section 5(a) of the Railroad Unemployment Insurance Act 
(RUIA), claims for benefits are to be made in accordance with such 
regulations as the Railroad Retirement Board (RRB) shall prescribe. The 
provisions for claiming sickness benefits as provided by Section 2 of 
the RUIA are prescribed in 20 CFR 335.2. Included in these provisions 
is the RRB's acceptance of forms executed by someone else on behalf of 
an employee if the RRB is satisfied that the employee is sick or 
injured to the extent of being unable to sign forms.
    The RRB utilizes Form SI-10, Statement of Authority to Act for 
Employee, to provide the means for an individual to apply for authority 
to act on behalf of an incapacitated employee and also to obtain the 
information necessary to determine that the delegation should be made. 
Part I of the form is completed by the applicant for the authority and 
Part II is completed by the employee's doctor. One response is 
requested of each respondent. Completion is required to obtain 
benefits. The RRB proposes no changes to Form SI-10.

Estimate of Annual Respondent Burden

    The estimated annual respondent burden is as follows:

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                                                                    Annual
                           Form No.                               responses      Time (minutes)   Burden (hours)
----------------------------------------------------------------------------------------------------------------
SI-10........................................................             400                6               40
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    3. Title and purpose of information collection: Statement Regarding 
Contributions and Support; OMB 3220-0099.
    Under Section 2 of the Railroad Retirement Act, dependency on an 
employee for one-half support at the time of the employee's death can 
affect (1) Entitlement to a survivor annuity when the survivor is a 
parent of the deceased employee; (2) the amount of spouse and survivor 
annuities; and (3) the Tier II restored amount payable to a widow(er) 
whose annuity was reduced for receipt of an employee annuity, and who 
was dependent on the railroad employee in the year prior to the 
employee's death. One-half support may also negate the public service 
pension offset in Tier I for a spouse or widow(er). The Railroad 
Retirement Board (RRB) utilizes Form G-134, Statement Regarding 
Contributions and Support, to secure information needed to adequately 
determine if the applicant meets the one-half support requirement. One 
response is completed by each respondent. Completion is required to 
obtain benefits. The RRB proposes no changes to Form G-134.

Estimate of Annual Respondent Burden

    The estimated annual respondent burden is as follows:

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                                                                      Annual
                            Form No.                                 responses    Time (minutes)  Burden (hours)
----------------------------------------------------------------------------------------------------------------
G-134:
    With assistance.............................................              75             147             184

[[Page 24067]]

 
    Without assistance..........................................              25             180              75
                                                                 -----------------------------------------------
        Total...................................................             100  ..............             259
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    Additional Information or Comments: To request more information or 
to obtain a copy of the information collection justification, forms, 
and/or supporting material, contact Charles Mierzwa, the RRB 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 e-mailed to [email protected]. Written 
comments should be received within 60 days of this notice.

Charles Mierzwa,
Clearance Officer.
[FR Doc. 2011-10418 Filed 4-28-11; 8:45 am]
BILLING CODE 7905-01-P