Federal Register: October 20, 2003 (Volume 68, Number 202)
DOCID: FR Doc 03-26341
RAILROAD RETIREMENT BOARD
Railroad Retirement Board
NOTICE: NOTICES
SUBJECT CATEGORY:
Proposed Collection; Comment Request
DOCUMENT 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 and Claim for Sickness Insurance Benefits; OMB 32200039.
Under section 2 of the Railroad Unemployment Insurance Act (RUIA), 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 10day period from the first day claimed as a day of sickness. The RRB's 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 used by the RRB to obtain information needed to determine eligibility for and the amount of sickness benefits due a claimant follows: Form SI1a, Application for Sickness Benefits; Form SI1b, Statement of Sickness; Form SI3, Claim for Sickness Benefits; Form SI 7, Supplemental Doctor's Statement; Form SI8, Verification of Medical Information; Form ID7h, NonEntitlement to Sickness Benefits and Information on Unemployment Benefits; Form ID11a, Requesting Reason for Late Filing of Sickness Benefit and ID11b, Notice of Insufficient Medical and Late Filing. Completion is required to obtain or retain benefits. One response is requested of each respondent.
The RRB proposes no changes to Forms(s) SI1a, SI1b, SI8, ID7h, ID11a and ID11b. Non burden impacting editorial and formatting changes are proposed to Form(s) SI3 and SI7.
Estimated of Annual Respondent Burden: The estimated annual respondent burden is as follows:
Annual
Form
Total....................................................... 260,900 .............. 26,321
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) 7513363. Comments regarding the information collection should be
addressed to Ronald J. Hodapp, Railroad Retirement Board, 844 North
Rush Street, Chicago, Illinois 606112092. Written comments should be received within 60 days of this notice.
Chuck Mierzwa,
Clearance Officer.
[FR Doc. 0326341 Filed 101703; 8:45 am]
BILLING CODE 790501M
SUMMARY:
Agency information collection activities; proposals, submissions, and approvals,