[Federal Register Volume 79, Number 184 (Tuesday, September 23, 2014)]
[Notices]
[Pages 56832-56833]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-22307]


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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 an 
forwarding 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 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 (79 FR 37357 on July 1, 2014) 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: Extension without change 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 no changes to Form AA-104.
    The burden estimate for the ICR is as follows:

[[Page 56833]]



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                                                                    Annual
                           Form No.                               responses     Time  (minutes)  Burden  (hours)
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AA-104.......................................................              30               10                5
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    2. 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, UI Claimant's Report of Efforts to Find Work, and 
UI-38s, School Attendance and Availability Questionnaire, to obtain 
information from the claimant and Form ID-8k, Questionnaire--
Reinstatement of Discharged or Suspended Employee, 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 (79 FR 37357 on July 1, 2014) 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, and ID-8k.
    Type of request: Extension without change 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 no changes to the forms in the 
collection.
    The burden estimate for the ICR is as follows:

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                                                                      Annual           Time           Burden
                            Form No.                                 responses       (minutes)        (hours)
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UI-38s:
    In person...................................................              42               6               4
    By mail.....................................................              86              10              14
UI-38...........................................................           2,048            11.5             392
ID-8k...........................................................           5,668               5             472
                                                                 -----------------------------------------------
    Total.......................................................           7,844  ..............             882
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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 [email protected].
    Comments regarding the information collection should be addressed 
to Charles Mierzwa, Railroad Retirement Board, 844 North Rush Street, 
Chicago, Illinois, 60611-2092 or [email protected] and to the OMB 
Desk Officer for the RRB, Fax: 202-395-6974, Email address: 
[email protected].

Charles Mierzwa,
Chief of Information Resources Management.
[FR Doc. 2014-22307 Filed 9-22-14; 8:45 am]
BILLING CODE 7905-01-P