52026 Federal Register / Vol. 76, No. 161 / Friday, August 19, 2011 / Notices 

employee retirement annuity under the 

Special Guaranty computation as 

prescribed in section 3(f)(3) and 20 CFR 

part 229. 

The survivor student annuity is 

usually paid by direct deposit to a 

financial institution either into the 

student’s checking or savings account or 

into a joint bank account with a parent. 

The requirements for eligibility as a 

student are prescribed in 20 CFR 216.74, 

and include students in independent 

study and home schooling. 

To help determine if a child is 

entitled to student benefits, the RRB 

requires evidence of full-time school 

attendance. This evidence is acquired 

through the RRB’s student monitoring 

program, which utilizes the following 

forms. Form G–315, Student 

Questionnaire, obtains certification of a 

student’s full-time school attendance as 

well as information on the student’s 

marital status, Social Security benefits, 

and employment, which are needed to 

determine entitlement or continued 

entitlement to benefits under the RRA. 

Form G–315A, Statement of School 

Official, is used to obtain, from a school, 

verification of a student’s full-time 

attendance when the student fails to 

return a monitoring Form G–315. Form 

G–315A.1, School Official’s Notice of 

Cessation of Full-Time School 

Attendance, is used by a school to notify 

the RRB that a student has ceased fulltime school attendance. The RRB 

proposes no changes to the forms. 

Estimate of Annual Respondent Burden 

The estimated annual respondent 

burden is as follows: 

Form Number Annual Responses Time (Minutes) Burden (Hours) 

G–315 ............................................................ 860 15 215 

G–315a .......................................................... 20 3 1 

G–315a.1 ....................................................... 20 2 1 

Total ........................................................ 900 217 

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 

Charles.Mierzwa@RRB.GOV. 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 

Patricia.Henaghan@RRB.GOV. Written 

comments should be received within 60 

days of this notice. 

Charles Mierzwa, 

Clearance Officer. 

[FR Doc. 2011–21219 Filed 8–18–11; 8:45 am] 

BILLING CODE 7905–01–P 

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 

three Information Collection Requests 

(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 collections of information to 

determine (1) the practical utility of the 

collections; (2) the accuracy of the 

estimated burden of the collections; (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. 

1. Title and Purpose of information 

collection: Application for 

Reimbursement for Hospital Insurance 

Services in Canada; OMB 3220–0086. 

Under section 7(d) of the Railroad 

Retirement Act (RRA), the RRB 

administers the Medicare program for 

persons covered by the railroad 

retirement system. Payments are 

provided under section 7(d)(4) of the 

RRA for medical services furnished in 

Canada to the same extent as for those 

furnished in the United States. 

However, payments for the services 

furnished in Canada are made from the 

Railroad Retirement Account rather 

than from the Federal Hospital 

Insurance Trust Fund, with the 

payments limited to the amount by 

which insurance benefits under 

Medicare exceed the amount payable 

under Canadian Provincial plans. 

Form AA–104, Application for 

Canadian Hospital Benefits Under 

Medicare—Part A, is provided by the 

RRB to a claimant seeking 

reimbursement for covered hospital 

services received in Canada. The form 

obtains information needed to 

determine the eligibility of the applicant 

and the amount of any reimbursement 

due. One response is requested of each 

respondent. Completion is required to 

obtain a benefit. 

Previous Requests for Comments: The 

RRB has already published the initial 

60-day notice (76 FR 29282 on May 20, 

2011) required by 44 U.S.C. 3506(c)(2). 

That request elicited no comments. 

Information Collection Request (ICR) 

Title: Application for Reimbursement 

for Hospital Insurance Services in 

Canada 

OMB Control Number: 3220–0086 

Form(s) submitted: AA–104 

Type of request: Revision of a 

currently approved collection 

Affected public: Individuals or 

Households 

Abstract: The Railroad Retirement 

Board administers the Medicare 

program for persons covered by the 

railroad retirement system. The 

collection obtains the information 

needed to determine eligibility and for 

the amount due for covered hospital 

services received in Canada. 

Changes proposed: The RRB proposes 

non-burden impacting formatting and 

editorial changes to Form AA–104. 

The burden estimate for the ICR is as 

follows: 

Estimated Completion Time for Form 

AA–104: 10 minutes 

Estimated annual number of 

respondents: 35 

Total annual responses: 35 

Total annual reporting hours: 6 

2. Title and Purpose of information 

collection: Employee Non-Covered 

Service Pension Questionnaire; OMB 

3220–0154. 

Section 215(a)(7) of the Social 

Security Act provides for a reduction in 

social security benefits based on 


jlentini on DSK4TPTVN1PROD with NOTICES
Federal Register / Vol. 76, No. 161 / Friday, August 19, 2011 / Notices 52027 

employment not covered under the 

Social Security Act or the Railroad 

Retirement Act (RRA). This provision 

applies a different social security benefit 

formula to most workers who are first 

eligible after 1985 to both a pension 

based in whole or in part on noncovered employment and a social 

security retirement or disability benefit. 

There is a guarantee provision that 

limits the reduction in the social 

security benefit to one-half of the 

portion of the pension based on noncovered employment after 1956. Section 

8011 of Public Law 100–647 changed 

the effective date of the onset from the 

first month of eligibility to the first 

month of concurrent entitlement to the 

non-covered service benefit and the 

RRA benefit. 

Section 3(a)(1) of the RRA provides 

that the Tier I benefit of an employee 

annuity shall be equal to the amount 

(before any reduction for age or 

deduction for work) the employee 

would receive if entitled to a like benefit 

under the Social Security Act. The 

reduction for a non-covered service 

pension also applies to a Tier I portion 

of the employee annuity under the RRA 

when the annuity or non-covered 

service pension begins after 1985. Since 

the amount of a spouse’s Tier I benefit 

is one-half of the employee’s Tier I, the 

spouse annuity is also affected. 

Form G–209, Employee Non-Covered 

Service Pension Questionnaire, is used 

by the RRB to obtain needed 

information (1) from a railroad 

employee who while completing Form 

AA–1, Application for Employee 

Annuity (OMB No. 3220–0002), 

indicates entitlement to or receipt of a 

pension based on employment not 

covered under Railroad Retirement or 

Social Security; (2) from a railroad 

employee when an independentlyentitled divorced spouse applicant 

believes the employee to be entitled to 

a non-covered service pension. 

However, should RRB records indicate 

the employee has 30 or more years of 

coverage, this development is 

unnecessary; or (3) from an employee 

annuitant who becomes entitled to a 

pension based on employment not 

covered under Railroad Retirement or 

Social Security. One response is 

requested of each respondent. 

Completion is required to obtain or 

retain benefits. 

Previous Requests for Comments: The 

RRB has already published the initial 

60-day notice (76 FR 29283 on May 20, 

2011) required by 44 U.S.C. 3506(c)(2). 

That request elicited no comments. 

Information Collection Request (ICR) 

Title: Employee Non-Covered Service 

Pension Questionnaire 

OMB Control Number: 3220–0154 

Form(s) submitted: G–209 

Type of request: Revision of a 

currently approved collection 

Affected public: Individuals or 

Households 

Abstract: Under Section 3 of the 

Railroad Retirement Act, the Tier I 

portion of an employee annuity may be 

subject to a reduction for benefits 

received based on work not covered 

under the Social Security Act or 

Railroad Retirement Act. The 

questionnaire obtains the information 

needed to determine if the reduction 

applies and the amount of such 

reduction. 

Changes proposed: The RRB proposes 

minor non-burden impacting editorial 

changes to Form G–209. 

The burden estimate for the ICR is as 

follows: 

Estimated Completion Time for Form 

G–209: 1 minute for a partial 

questionnaire and 8 minutes for a full 

questionnaire. 

Estimated annual number of 

respondents: 150 

Total annual responses: 150 

Total annual reporting hours: 14 

3. Title and Purpose of information 

collection: Availability for Work; OMB 

3220–0164. Under section 1(k) of the 

Railroad Unemployment Insurance Act, 

unemployment benefits are not payable 

for any day for which the claimant is 

not available for work. 

Under Railroad Retirement Board 

(RRB) regulation 20 CFR 327.5, 

‘‘available for work’’ is defined as being 

willing and ready for work. A claimant 

is ‘‘willing’’ to work if willing to accept 

and perform for hire such work as is 

reasonably appropriate to his or her 

employment circumstances. A claimant 

is ‘‘ready’’ for work if he or she (1) is 

in a position to receive notice of work 

and is willing to accept and perform 

such work, and (2) is prepared to be 

present with the customary equipment 

at the location of such work within the 

time usually allotted. 

Under RRB regulation 20 CFR 327.15, 

a claimant may be requested at any time 

to show, as evidence of willingness to 

work, that reasonable efforts are being 

made to obtain work. In order to 

determine whether a claimant is; (a) 

available for work, and (b) willing to 

work, the RRB utilizes Forms UI–38 and 

UI–38s to obtain information from the 

claimant and Form ID–8k from the 

union representative. One response is 

completed by each respondent. 

Completion of Forms UI–38 and UI–38s 

is required to obtain or retain benefits. 

Completion of Form ID–8k is voluntary. 

Previous Requests for Comments: The 

RRB has already published the initial 

60-day notice (76 FR 29283 on May 20, 

2011) required by 44 U.S.C. 3506(c)(2). 

That request elicited no comments. 

Information Collection Request (ICR) 

Title: Availability for Work 

OMB Control Number: 3220–0164 

Form(s) submitted: UI–38, UI–38s, ID– 

8k 

Type of request: Revision of a 

currently approved collection 

Affected public: Individuals or 

Households, Non-profit institutions 

Abstract: Under Section 1(k) of the 

Railroad Unemployment Insurance Act, 

unemployment benefits are not payable 

for any day in which the claimant is not 

available for work. The collection 

obtains information needed by the RRB 

to determine whether a claimant is 

willing and ready to work. 

Changes proposed: The RRB proposes 

to revise Form ID–8k to eliminate 

question two regarding ‘‘pay for time 

lost.’’ This question was previously 

included to remind covered employers 

of their reporting obligations under 

section 2(f) of the RUIA. The question 

is being removed as it was determined 

that other forms, such as the ID–4e and 

ID–4k, provide sufficient notice of 

covered employer’s reporting 

obligations under section 2(f). 

The burden estimate for the ICR is as 

follows: 

Estimated Completion Time for 

Forms: UI–38 is estimated at 11.5 

minutes per response; UI–38s is 

estimated at 6 minutes per response in 

person and 10 minutes per response by 

mail; and Form ID–8k is estimated at 5 

minutes per response. 

Estimated annual number of 

respondents: 7,428 

Total annual responses: 7,428 

Total annual reporting hours: 966 

Additional Information or Comments: 

Copies of the forms and supporting 

documents can be obtained from 

Charles Mierzwa, the agency clearance 

officer at (312) 751–3363 or 

Charles.Mierzwa@RRB.GOV. 

Comments regarding the information 

collection should be addressed to 

Patricia Henaghan, Railroad Retirement 

Board, 844 North Rush Street, Chicago, 

Illinois, 60611–2092 or 

Patricia.Henaghan@RRB.GOV and to 

the OMB Desk Officer for the RRB, Fax: 

202–395–6974, E-mail address: 

OIRA_Submission@omb.eop.gov. 

Charles Mierzwa, 

Clearance Officer. 

[FR Doc. 2011–21222 Filed 8–18–11; 8:45 am] 

BILLING CODE 7905–01–P 


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