89 FR 250 pgs. 107180-107181 - Agency Forms Submitted for OMB Review, Request for Comments
Type: NOTICEVolume: 89Number: 250Pages: 107180 - 107181
Pages: 107180, 107181FR document: [FR Doc. 2024-31429 Filed 12-30-24; 8:45 am]
Agency: Railroad Retirement Board
Official PDF Version: PDF Version
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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.
[top] 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
Title and purpose of information collection: Railroad Unemployment Insurance Act Applications; OMB 3220-0039.
Under Section 2 of the Railroad Unemployment Insurance Act (RUIA) (45 U.S.C. 362), 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 (89 85257 on October 25, 2024) 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: Reinstatement with change of a previously 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 Forms SI-1a, SI-1b, SI-3, SI-3 (internet), SI-7, SI-8, and ID-11A.
The burden estimate for the ICR is as follows:
| Form number | Annual responses | Time (minutes) | Burden (hours) |
|---|---|---|---|
| SI-1a (Employee) | 11,179 | 10 | 1,863 |
| SI-1b (Doctor) | 11,179 | 8 | 1,490 |
| SI-3 (Manual) | 100,120 | 5 | 8,343 |
| SI-3 (Internet) | 82,812 | 5 | 6,901 |
| SI-7 | 12,151 | 8 | 1,620 |
| SI-8 | 24 | 5 | 2 |
| ID-11A | 284 | 4 | 19 |
| Total | 217,749 | 20,238 |
Additional Information or Comments: Copies of the forms and supporting documents or comments regarding the information collection should be addressed to Brian Foster, Railroad Retirement Board, 844 North Rush Street, Chicago, Illinois 60611-1275 or emailed to Brian.Foster@rrb.gov.
Written comments and recommendations for the proposed information collection should be sent within 30 days of publication of this notice to www.reginfo.gov/public/do/PRAMain. Find this particular information collection by selecting "Currently under 30-day Review-Open for Public Comments" or by using the search function.
Brian Foster,
Clearance Officer.
[FR Doc. 2024-31429 Filed 12-30-24; 8:45 am]
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