Proposed Collection; Comment Request

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]

BILLING CODE 7905-01-M