97-4905. Proposed Collection; Comment Request
[Federal Register Volume 62, Number 39 (Thursday, February 27, 1997)]
[Notices]
[Page 9003]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-4905]
=======================================================================
-----------------------------------------------------------------------
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.
Title and purpose of information collection: Application for
Hospital Insurance Benefits; OMB 3220-0082 Under Section 7(d) of the
Railroad Retirement Act (RRA), the Railroad Retirement Board (RRB)
administers the Medicare program for persons covered by the railroad
retirement system. The RRB uses Form AA-6, Employee Application for
Medicare; Form AA-7, Spouse/Divorced Spouse Application For Medicare;
and Form AA-8, Widow/Widower Application for Medicare; to obtain the
information needed to determine whether individuals who have not yet
filed for benefits under the RRA are qualified for Medicare payments
provided under Title XVIII of the Social Security Act. Completion is
required to obtain a benefit. One response is requested of each
respondent.
The RRB proposes a minor editorial change to Forms AA-6, AA-7 and
AA-8 to incorporate language required by the Paperwork Reduction Act of
1995. The RRB estimates that 180 Form AA-6's, 50 Form AA-7's, and 10
Form AA-8's are completed annually. The completion time for all three
forms is estimated at 8 minutes.
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. 97-4905 Filed 2-26-97; 8:45 am]
BILLING CODE 7905-01-M
Document Information
- Published:
- 02/27/1997
- Department:
- Railroad Retirement Board
- Entry Type:
- Notice
- Document Number:
- 97-4905
- Pages:
- 9003-9003 (1 pages)
- PDF File:
-
97-4905.pdf