[Federal Register Volume 76, Number 34 (Friday, February 18, 2011)]
[Notices]
[Pages 9615-9616]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-3715]


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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

[[Page 9616]]

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 an extension without 
change of a currently approved collection of information: 3220-0185, 
Report of Medicaid State Office on Beneficiary's Buy-In Status 
consisting of Form RL-380-F, Report to State Medicaid Office. 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.
    Under Section 7(d) of the Railroad Retirement Act, the RRB 
administers the Medicare program for persons covered by the railroad 
retirement system. Under Section 1843 of the Social Security Act, 
states may enter into ``buy-in agreements'' with the Secretary of 
Health and Human Services for the purpose of enrolling certain groups 
of low-income individuals under the Medicare medical insurance (Part B) 
program and paying the premiums for their insurance coverage. 
Generally, these individuals are categorically needy under Medicaid and 
meet the eligibility requirements for Medicare Part B. States can also 
include in their buy-in agreements, individuals who are eligible for 
medical assistance only. The RRB uses Form RL-380-F, Report to State 
Medicaid Office, to obtain information needed to determine if certain 
railroad beneficiaries are entitled to receive Supplementary Medical 
Insurance program coverage under a State buy-in agreement in States in 
which they reside. Completion of Form RL-380-F is voluntary. One 
response is received from each respondent.
    The RRB proposes no changes to Form RL-380-F.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (72 FR 57078 on December 17, 2010) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Report of Medicaid State Office on Beneficiary's Buy-In 
Status.
    OMB Control Number: 3220-0185.
    Form(s) submitted: RL-380-F.
    Type of request: An extension without change of a currently 
approved collection.
    Affected public: State, local or Tribal government.
    Abstract: Under the Railroad Retirement Act, the Railroad 
Retirement Board administers the Medicare program for persons covered 
by the railroad retirement system. The collection obtains the 
information needed to determine if certain railroad beneficiaries are 
entitled to receive Supplementary Medical Insurance program coverage 
under a State buy-in agreement in States in which they reside.
    Changes Proposed: The RRB proposes no changes to Form RL-380-F.
    The burden estimate for the ICR is as follows:
    Estimated Completion Time for Form(s): Completion time for Form RL-
380-F is estimated at 10 minutes.
    Estimated annual number of respondents: 600.
    Total annual responses: 600.
    Total annual reporting hours: 100.
    Additional Information or Comments: Copies of the forms and 
supporting documents can be obtained from Charles Mierzwa, the agency 
clearance officer (312-751-3363) or <a href="/cdn-cgi/l/email-protection#56153e37243a3325781b3f33242c21371624243478313920"><span class="__cf_email__" data-cfemail="3e7d565f4c525b4d1073575b4c44495f7e4c4c5c10595148">[email protected]</span></a>.
    Comments regarding the information collection should be sent to 
Patricia A. Henaghan, Railroad Retirement Board, 844 North Rush Street, 
Chicago, Illinois 60611-2092 or <a href="/cdn-cgi/l/email-protection#d080b1a4a2b9b3b9b1fe98b5beb1b7b8b1be90a2a2b2feb7bfa6"><span class="__cf_email__" data-cfemail="9fcffeebedf6fcf6feb1d7faf1fef8f7fef1dfededfdb1f8f0e9">[email protected]</span></a> and to the 
Office of Management Budget at ATTN: Desk Officer for RRB, FAX: (202) 
395-6974 or via E-mail to <a href="/cdn-cgi/l/email-protection#e1aea8b3a0beb294838c889292888e8fa18e8c83cf848e91cf868e97"><span class="__cf_email__" data-cfemail="1b5452495a44486e79767268687274755b747679357e746b357c746d">[email protected]</span></a>.

Charles Mierzwa,
Clearance Officer.
[FR Doc. 2011-3715 Filed 2-17-11; 8:45 am]
BILLING CODE 7905-01-P


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