[Federal Register Volume 65, Number 208 (Thursday, October 26, 2000)]
[Notices]
[Pages 64265-64266]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-27536]


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RAINROAD 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 to Act as Representative Payee; OMB 3220-0052. Under 
Section 12 of the Railroad Retirement Act, the Railroad Retirement 
Board (RRB) may pay benefits to a representative payee when an 
employee, spouse or survivor annuitant is incompetent or is a minor. A 
representative payee may be a court-appointed guardian, a statutory 
conservator or an individual selected by the RRB. The procedures 
pertaining to the appointment and responsibilities of a representative 
payee are prescribed in 20 CFR part 266.
    The forms furnished by the RRB to apply for representative payee 
status,

[[Page 64266]]

and for securing the information needed to support the application 
follow. RRB Form AA-5, Application for Substitution of Payee, obtains 
information needed to determine the selection of a representative payee 
who will serve in the best interest of the beneficiary. RRB Form G-478, 
Statement Regarding Patient's Capability to Manage Payments, obtains 
information about an annuitant's capability to manage payments. The 
form is completed by the annuitant's personal physician or by a medical 
officer, if the annuitant is in an institution. It is not required when 
a court has appointed an individual or institution to manage the 
annuitant's funds or, in the absence of such appointment, when the 
annuitant is a minor. The RRB also provides representative payees with 
a booklet at the time of their appointment. The booklet, RRB Form RB-5, 
Your Duties as Representative Payee-Representative Payee's Record, 
advises representative payees of their responsibilities under 20 CFR 
266.9 and provides a means for the representative payee to maintain 
records pertaining to the receipt and use of RRB benefits. The booklet 
is provided for the representative payee's convenience. The RRB also 
accepts records that were kept by representative payee's as part of a 
common business practice.
    Completion is voluntary. One response is requested of each 
respondent. The RRB is proposing non-burden impacting editorial changes 
to Forms AA-5 and G-478. No other changes are proposed. The estimated 
completion time is estimated at 17 minutes for FORM AA-5, 6 minutes for 
Form G-478 and 60 minutes for Booklet RB-5. The RRB estimates that 
approximately 3,000 Form AA-5's 2,000 Form G-478's and 15,300 RB-5's 
are completed annually.
    The renewal of this information collection will continue the RRB's 
initiative to consolidate information collections by major functional 
areas. The purpose of the initiative is to bring related collection 
instruments together in one collection, better manage the instruments, 
and prepare for the electronic collection of this information. (A 
collection instrument can be an individual form, electronic collection, 
interview, or any other method that collects specific information from 
the public.)
    As part of the OMB renewal process, the RRB also proposes that this 
collection (OMB 3220-0052), Application to Act as Representative Payee, 
be renamed Continuing RRA Entitlement. Upon approval by OMB, the RRB 
intends to merge the following OMB approved-related collection into 
this collection by the expected expiration date(s).

------------------------------------------------------------------------
                                                               Expected
  OMB collection           Title              RRB forms       expiration
       No.                                                       date
------------------------------------------------------------------------
3220-0107........  Request to Non-        RL-231-F             1/31/2003
                    Railroad Employer
                    for Information
                    About Annuitant's
                    Work and Earnings.
3220-0145........  Non-Resident           RRB-1001             6/30/2003
                    Questionnaire.
3220-0149........  Withholding            RRB-W-4P             5/31/2001
                    Certificate for
                    Railroad Retirement
                    Monthly Annuity
                    Payments.
3220-0151........  Representative Payee   G-99A, G-99C         7/31/2001
                    Monitoring.
3220-0169........  Repayment of Debt....  G-421F               6/30/2003
3220-0176........  Representative Payee   G-19D                5/31/2002
                    Parental Custody
                    Monitoring.
3220-0178........  Aged Monitoring        G-19C                7/31/2002
                    Questionnaire.
3220-0179........  Annual Earnings        G-19L                8/31/2002
                    Questionnaire for
                    Annuitants in Last
                    Pre-Retirement Non-
                    Railroad Employment.
3220-0183........  Statement of Claimant  G-93                 9/30/2003
                    or Other Person.
3220-0184........  Earnings Information   G-19-F               7/31/2001
                    Request.
------------------------------------------------------------------------

    Revisions to existing collection instruments and, occasionally, a 
new instrument related to this program function may be required during 
the three-year cycle of this information collection.
    The RRB currently estimates the completion time for Form RL-231-F, 
Request to Non-Railroad Employer For information About Annuitant's Work 
and Earnings, at 30 minutes; Form RRB-1001, Nonresident Questionnaire, 
at 3 to 5 minutes; Form RRB-W-4P, Withholding Certificate for Railroad 
Retirement Payments at 109 minutes; Form G-99A, Representative Payee 
Report, at 20 minutes; Form G-99C, Representative Payee Evaluation 
Report at 24-31 minutes; Form G-421F, Repayment by Credit Card, at 5 
minutes; Form G-19D, Parental Custody Report, at 5 minutes; Form G-19C, 
Aged Monitoring Questionnaire at 6 minutes; Form G-19L, Annual Earnings 
Questionnaire for Annuitants in Last Person Service, at 15 minutes; 
Form G-93, Statement of Claimant or Other Person, at 15 minutes; and 
Form G-19-F, Earnings Information Request at 8 minutes. After the last 
information collection is merged and other necessary adjustments are 
made, the resultant information collection is expected to total 
approximately 21,437 total burden hours.
    A justification for each action described above (merge collection, 
revised collection instrument, new collection instrument) will be 
provided to OMB with a correction Change Worksheet (OMB Form 83-C) at 
the time the action occurs. With the next renewal of this collection, 
the RRB will update the information collection package to account for 
the consolidation and other interim adjustments.

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. Comments regarding the information collection should be 
addressed to Ronald J. Hodapp, Railroad Retirement Board, 844 North 
Rush Street, Chicago, Illinois 60611-2092. Written comments should be 
received within 60 days of this notice.

Chuck Mierzwa,
Clearance Officer.
[FR Doc. 00-27536 Filed 10-25-00; 8:45 am]
BILLING CODE 7905-01-M