[Federal Register Volume 77, Number 56 (Thursday, March 22, 2012)]
[Notices]
[Pages 16870-16871]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-6834]


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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). 
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

[[Page 16871]]

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.
    Under Section 12(o) of the Railroad Unemployment Insurance Act 
(RUIA), the Railroad Retirement Board (RRB) is entitled to 
reimbursement of the sickness benefits paid to a railroad employee if 
the employee receives a sum or damages for the same infirmity for which 
the benefits are paid. Section 2(f) of the RUIA requires employers to 
reimburse the RRB for days in which salary, wages, pay for time lost or 
other remuneration is later determined to be payable. Reimbursements 
under section 2(f) generally result from the award of pay for time lost 
or the payment of guaranteed wages. The RUIA prescribes that the amount 
of benefits paid be deducted and held by the employer in a special fund 
for reimbursement to the RRB.
    The RRB currently utilizes the following forms to obtain the 
necessary information from claimants and railroad employers: Forms SI-
1c, Supplemental Information on Accident and Insurance; SI-5, Report of 
Payments to Employee Claiming Sickness Benefits Under the RUIA; ID-3s, 
Request for Lien Information; Report of Settlement; ID-3s-1, Lien 
Information Under Section 12(o) of the RUIA; ID-3u, Request for Section 
2(f) Information; ID-30k, Notice to Request Supplemental Information on 
Injury or Illness; and ID-30k-1, Notice to Request Supplemental 
Information on Injury or Illness. Completion is required to obtain 
benefits. One response is requested of each respondent.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (76 FR 80988 on December 27, 2011) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Supplemental Information on Accident and Insurance.
    OMB Control Number: 3220-0036.
    Form(s) submitted: SI-1c, SI-5, ID-3s, ID-3s.1, ID3u, ID-30k, and 
ID-30k.1.
    Type of request: Extension without change of a currently approved 
collection.
    Affected public: Individuals or Households.
    Abstract: The Railroad Unemployment Insurance Act provides for the 
recovery of sickness benefits paid if an employee receives a settlement 
for the same injury for which benefits were paid. The collection 
obtains information that is needed to determine the amount of the RRB's 
reimbursement from the person or company responsible for such payments.
    Changes proposed: The RRB proposes no changes to the forms in the 
collection.
    The burden estimate for the ICR is as follows:

----------------------------------------------------------------------------------------------------------------
                        Form number                         Annual responses   Time  (minutes)   Burden  (hours)
----------------------------------------------------------------------------------------------------------------
SI-1c.....................................................               500                 5                42
SI-5......................................................                 7                 5                 1
ID-3s (Paper & Telephone).................................             7,000                 3               350
ID-3s (Email).............................................             7,000                 3               350
ID-3s.1 (Paper & Telephone)...............................               500                 3                25
ID-3u (Paper & Telephone).................................             1,100                 3                55
ID-3u (Email).............................................             1,100                 3                55
ID-30k....................................................               100                 5                 8
ID-30k.1..................................................                75                 5                 6
    Total.................................................            17,382  ................               892
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    Additional Information or Comments: Copies of the forms and 
supporting documents can be obtained from Dana Hickman at (312) 751-
4981 or <a href="/cdn-cgi/l/email-protection#3c785d525d1274555f57515d527c6e6e7e127b736a"><span class="__cf_email__" data-cfemail="2e6a4f404f0066474d45434f406e7c7c6c00696178">[email protected]</span></a>.
    Comments regarding the information collection should be addressed 
to Charles Mierzwa, Railroad Retirement Board, 844 North Rush Street, 
Chicago, Illinois, 60611-2092 or <a href="/cdn-cgi/l/email-protection#4a09222b38262f396407232f38303d2b0a181808640d051c"><span class="__cf_email__" data-cfemail="cc8fa4adbea0a9bfe281a5a9beb6bbad8c9e9e8ee28b839a">[email protected]</span></a> and to the OMB 
Desk Officer for the RRB, Fax: 202-395-6974, Email address: <a href="/cdn-cgi/l/email-protection#2966607b68767a5c4b44405a5a4046476946444b074c4659074e465f"><span class="__cf_email__" data-cfemail="410e0813001e1234232c283232282e2f012e2c236f242e316f262e37">[email protected]</span></a>.

Charles Mierzwa,
Chief of Information Resources Management.
[FR Doc. 2012-6834 Filed 3-21-12; 8:45 am]
BILLING CODE 7905-01-P


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