Proposed Data Collection Available for Public Comment and Recommendations

RAILROAD RETIREMENT BOARD

Proposed Data Collection Available for Public Comment and

Recommendations

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: Statement of Authority

to Act for Employee; OMB 3220-0034. Under Section 5(a) of the Railroad

Unemployment Insurance Act (RUIA), claims for benefits are to be made

in accordance with such regulations as the Railroad Retirement Board

(RRB) shall prescribe. The provisions for claiming sickness benefits as

provided by Section 2 of the RUIA are prescribed in 20 CFR 355.2.

Included in these provisions is the RRB's acceptance of forms executed

by someone else on behalf of an employee if the RRB is satisfied that

the employee is sick or injured to the extent of being unable to sign

forms.

The RRB utilizes Form SI-10, Statement of Authority to Act for

Employee, to provide the means for an individual to apply for authority

to act on behalf of an incapacitated employee and also to obtain the

information necessary to determine that the delegation should be made.

Part I of the form is completed by the applicant for the authority and

Part II is completed by the employee's doctor. One response is

requested of each respondent. Completion is required to obtain

benefits.

The RRB proposes various minor editorial revisions to Form SI-10

which include the insertion of language required by the Paperwork

Reduction Act of 1995.

The estimated annual respondent burden is as follows:

Estimate of Annual Respondent Burden

------------------------------------------------------------------------

Annual Time Burden

Form no. responses (min) (hrs)

------------------------------------------------------------------------

SI-10...................................... 400 6 40

------------------------------------------------------------------------

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

[[Page 43096]]

should be received within 60 days of this notice.

Chuck Mierzwa,

Clearance Officer.

[FR Doc. 96-21188 Filed 8-19-96; 8:45 am]

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