[Federal Register Volume 81, Number 128 (Tuesday, July 5, 2016)]
[Notices]
[Pages 43670-43671]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-15887]
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RAILROAD 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.
1. Title and purpose of information collection: Medical Reports;
OMB 3220-0038. Under sections 2(a)(1)(iv) and 2(a)(1)(v) of the
Railroad Retirement Act (RRA), annuities are payable to qualified
railroad employees whose physical or mental condition makes them unable
to (1) work in their regular occupation (occupational disability) or
(2) work at all (total disability). The requirements
[[Page 43671]]
for establishing disability and proof of continuing disability under
the RRA are prescribed in 20 CFR 220.
Annuities are also payable to (1) qualified spouses and widow(ers)
under sections 2(c)(1)(ii)(C) and 2(d)(1)(ii) of the RRA who have a
qualifying child who became disabled before age 22; (2) surviving
children on the basis of disability under section 2(d)(1)(iii)(C), if
the child's disability began before age 22; and (3) widow(er)s on the
basis of disability under section 2(d)(1)(i)(B). To meet the disability
standard, the RRA provides that individuals must have a permanent
physical or mental condition that makes them unable to engage in any
regular employment.
Under section 2(d)(1)(v) of the RRA, annuities are also payable to
remarried widow(er)s and surviving divorced spouses on the basis of,
among other things, disability or having a qualifying disabled child in
care. However, the disability standard in these cases is that found in
the Social Security Act. That is, individuals must be unable to engage
in any substantial gainful activity by reason of any medically
determinable physical or mental impairment. The RRB also determines
entitlement to a Period of Disability and entitlement to early Medicare
based on disability for qualified claimants in accordance with Section
216 of the Social Security Act.
When making disability determinations, the RRB needs evidence from
acceptable medical sources. The RRB currently utilizes Forms G-3EMP,
Report of Medical Condition by Employer; G-197, Authorization to
Disclose Information to the Railroad Retirement Board; G-250, Medical
Assessment; G-250A, Medical Assessment of Residual Functional Capacity;
G-260, Report of Seizure Disorder; RL-11B, Disclosure of Hospital
Medical Records; RL-11D, Disclosure of Medical Records from a State
Agency; and RL-250, Request for Medical Assessment, to obtain the
necessary medical evidence. The RRB proposes no revisions to these
forms.
In support of the RRB's Disability Program Improvement Project to
enhance/improve disability case processing and overall program
integrity, the RRB proposes the addition of proposed Form RL-11D1,
Request for Medical Evidence from Employers, to the information
collection. Form RL-11D1 will be mailed by an RRB field office to
railroad and nonrailroad employers to obtain any medical evidence
regarding the employee's disability that they may have acquired within
the last 18 months. A copy of the employee signed Form G-197 will be
enclosed with the RL-11D1. The employer will return the RL-11D1 to RRB
Headquarters certifying that they either have submitted the requested
medical evidence or that they have no medical evidence to submit. One
response is requested of each respondent. Completion is voluntary.
Estimate of Annual Respondent Burden
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Annual Time Burden
Form No. responses (minutes) (hours)
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G-3EMP.......................................................... 600 10 100
G-197........................................................... 6,000 10 1,000
G-250........................................................... 11,950 30 5,975
G-250A.......................................................... 50 20 17
G-260........................................................... 100 25 42
RL-11B.......................................................... 5,000 10 833
RL-11D.......................................................... 250 10 42
RL-11D1......................................................... 600 20 200
RL-250.......................................................... 11,950 10 1,992
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Total....................................................... 36,500 .............. 10,201
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Additional Information or Comments: To request more information or
to obtain a copy of the information collection justification, forms,
and/or supporting material, contact 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 emailed to
[email protected]. Written comments should be received within 60
days of this notice.
Charles Mierzwa,
Chief of Information Resources Management.
[FR Doc. 2016-15887 Filed 7-1-16; 8:45 am]
BILLING CODE 7905-01-P