96-9105. Proposed Collection; Comment Request

[Federal Register Volume 61, Number 72 (Friday, April 12, 1996)]
[Notices]
[Pages 16273-16274]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-9105]



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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.

[[Page 16274]]

    Title and purpose of information collection: Request for Review of 
Part B Medicare Claim; OMB 3220-0100 Under Section 7(d) of the Railroad 
Retirement Act (RRA), the RRB administers the Medicare program for 
persons covered by the railroad retirement system.
    The RRB utilizes Forms G-790 and
G-791 to provide railroad retirement beneficiaries who are claimants 
for Part B Medicare benefits with the means for requesting the 
MetraHealth Insurance Company, the RRB's current Medicare carrier, to 
review claims determinations or to hold hearings on the review 
determinations. Completion is required to obtain a benefit. One 
response is requested of each respondent.
    The RRB proposes minor editorial changes to both the G-790 and G-
791 to incorporate language required by the Paperwork Reduction Act of 
1995. The completion time for both the G-790 and the G-791 is estimated 
at 15 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 N. Rush 
Street, Chicago, Illinois 60611-2092. Written comments should be 
received within 60 days of this notice.
Chuck Mierzwa,
Clearance Officer.
[FR Doc. 96-9105 Filed 4-11-96; 8:45 am]
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