[Federal Register Volume 61, Number 72 (Friday, April 12, 1996)] [Notices] [Page 16274] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 96-9106] ----------------------------------------------------------------------- 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 (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: Request for Medicare Payment; OMB 3220-0131 Under Section 7(d) of the Railroad Retirement Act, the RRB administers the Medicare program for persons covered by the railroad retirement system. The collection obtains the information needed by the MetraHealth Insurance Company, the Medicare carrier for railroad retirement beneficiaries, to pay claims for payments under Part B of the Medicare program. Authority for collecting the information is prescribed in 42 CFR 424.32. The RRB currently utilizes Forms G-740B, G-740S and HCFA 1500 to secure the information necessary to pay Part B Medicare Claims. One response is completed for each claim. Completion is required to obtain a benefit. The RRB proposes to expand the use of Form HCFA-1500, (in accordance with Section 1848(G)(4) of the Social Security Act) which will result in the obsolescence of Form G-740B. Non-burden impacting changes to RRB Form G-740s including the addition of a burden statement are also being proposed. Estimate of Annual Respondent Burden The estimated annual respondent burden is as follows: ------------------------------------------------------------------------ Annual Time Form No.(s) responses (Min.) ------------------------------------------------------------------------ G-740S............................................ 100 15 ------------------------------------------------------------------------ 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 N. Rush Street, Chicago, Illinois 60611-2092. Written comments should be received within 60 days of this notice. Chuck Mierzwa, Clearance Officer. [FR Doc. 96-9106 Filed 4-11-96; 8:45 am] BILLING CODE 7905-01-M