96-9106. Proposed Collection; Comment Request

[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]



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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 (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
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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, 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]
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