[Federal Register Volume 82, Number 100 (Thursday, May 25, 2017)]
[Notices]
[Pages 24169-24171]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-10666]


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RAILROAD RETIREMENT BOARD


Agency Forms Submitted for OMB Review, Request for Comments

    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 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: Railroad 
Unemployment

[[Page 24170]]

Insurance Act Applications; OMB 3220-0039.
    Under Section 2 of the Railroad Unemployment Insurance Act (RUIA), 
sickness benefits are payable to qualified railroad employees who are 
unable to work because of illness or injury. In addition, sickness 
benefits are payable to qualified female employees if they are unable 
to work, or if working would be injurious, because of pregnancy, 
miscarriage, or childbirth. Under Section 1(k) of the RUIA a statement 
of sickness, with respect to days of sickness of an employee, is to be 
filed with the RRB within a 10-day period from the first day claimed as 
a day of sickness. The Railroad Retirement Board's (RRB) authority for 
requesting supplemental medical information is Section 12(i) and 12(n) 
of the RUIA. The procedures for claiming sickness benefits and for the 
RRB to obtain supplemental medical information needed to determine a 
claimant's eligibility for such benefits are prescribed in 20 CFR part 
335.
    The forms currently used by the RRB to obtain information needed to 
determine eligibility for, and the amount of, sickness benefits due a 
claimant follow: Form SI-1a, Application for Sickness Benefits; Form 
SI-1b, Statement of Sickness; Form SI-3, Claim for Sickness Benefits; 
Form SI-7, Supplemental Doctor's Statement; Form SI-8, Verification of 
Medical Information; and Form ID-11A, Requesting Reason for Late Filing 
of Sickness Benefit. Completion is required to obtain or retain 
benefits. One response is requested of each respondent.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (82 12859 on March 7, 2017) required by 44 U.S.C. 
3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

    Title: Railroad Unemployment Insurance Act Applications.
    OMB control number: 3220-0039.
    Form(s) submitted: SI-1a, SI-1b, SI-3, SI-3 (Internet), SI-7, SI-8, 
and ID-11A.
    Type of request: Extension without change of a currently approved 
collection.
    Affected public: Individuals or Households.
    Abstract: Under Section 2 of the Railroad Unemployment Insurance 
Act, sickness benefits are payable to qualified railroad employees who 
are unable to work because of illness or injury. The collection obtains 
information from railroad employees and physicians needed to determine 
eligibility to and the amount of such benefits.
    Changes proposed: The RRB proposes no changes to the forms in the 
collection.
    The burden estimate for the ICR is as follows:

----------------------------------------------------------------------------------------------------------------
                                                                      Annual           Time           Burden
                            Form No.                                 responses       (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SI-1a (Employee)................................................          15,700              10           2,617
SI-1b (Doctor)..................................................          15,700               8           2,093
SI-3 (Manual)...................................................         131,600               5          10,967
SI-3 (Internet).................................................          61,350               5           5,113
SI-7............................................................          20,830               8           2,777
SI-8............................................................              26               5               2
ID-11A..........................................................             518               4              35
                                                                 -----------------------------------------------
    Total.......................................................         245,724  ..............          23,604
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    2. Title and Purpose of information collection: Job Information 
Report, OMB 3220-0193.
    The Railroad Retirement Board (RRB) occupational disability 
standards allow the RRB to request job information from railroad 
employers to determine an applicant's eligibility for an occupational 
disability.
    To determine an occupational disability, the RRB must obtain the 
employee's work history and establish if the employee is precluded from 
performing his or her regular railroad occupation. This is accomplished 
by comparing the restrictions caused by the impairment(s) against the 
employee's ability to perform his or her job duties.
    To collect the information needed to determine the effect of a 
disability on an employee applicant's ability to work, the RRB utilizes 
Form G-251, Vocational Report (OMB 3220-0141) which is completed by the 
applicant.
    Form G-251A, Railroad Job Information, requests railroad employers 
to provide information regarding whether the employee has been 
medically disqualified from their railroad occupation; a summary of the 
employee's duties; the machinery, tools and equipment used by the 
employee; the environmental conditions under which the employee 
performs their duties; all sensory requirements (vision, hearing, 
speech) needed to perform the employee's duties; the physical actions 
and amount of time (frequency) allotted for those actions that may be 
required by the employee to perform their duties during a typical work 
day; any permanent working accommodations an employer may have made due 
to the employee's disability; as well as any other relevant information 
they may choose to include. Completion is voluntary.
    Previous Requests for Comments: The RRB has already published the 
initial 60-day notice (82 FR 12859 on March 7, 2017) required by 44 
U.S.C. 3506(c)(2). That request elicited no comments.
    Title: Job Information Report.
    OMB control number: 3220-0193.
    Form(s) submitted: G-251A.
    Type of request: Extension without change of a currently approved 
collection.
    Affected public: Businesses or other for profits.
    Abstract: The collection obtains information used by the Railroad 
Retirement Board (RRB) to assist in determining whether a railroad 
employee is disabled from his or her regular occupation. It provides 
railroad employers with the opportunity to provide information to the 
RRB regarding the employee applicant's job duties.
    Changes proposed: The RRB proposes minor editorial changes to Form 
G-251A.
    The burden estimate for the ICR is as follows:

[[Page 24171]]



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                                                                    Annual
                           Form No.                               responses     Time  (minutes)  Burden  (hours)
----------------------------------------------------------------------------------------------------------------
G-251A.......................................................             500               60              500
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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 Brian Foster, Railroad Retirement Board, 844 North Rush Street, 
Chicago, Illinois 60611-1275 or [email protected] and to the OMB 
Desk Officer for the RRB, Fax: 202-395-6974, Email address: 
[email protected].

Brian D. Foster,
Clearance Officer.
[FR Doc. 2017-10666 Filed 5-24-17; 8:45 am]
 BILLING CODE 7905-01-P