# Proposed Collection: Comment Request

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URL: https://www.frixlaw.com/law-library/documents/fr%3A99-6493

## Record

- **Collection:** Federal Register
- **Document type:** Notice
- **Published:** March 17, 1999
- **Citation:** 64 FR 13241

## Text

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 13242]]

Title and Purpose of Information Collection

Application for Reimbursement for Hospital Insurance Services in
Canada; OMB 3220-0086.
Under section 7(d) of the Railroad Retirement Act (RRA), the RRB
administers the Medicare program for persons covered by the railroad
retirement system. Payments are provided under section 7(d)(4) of the
RRA for medical services furnished in Canada to the same extent as for
those furnished in the United States. However, payments for the
services furnished in Canada are made from the Railroad Retirement
Account rather than from the Federal Hospital Insurance Trust Fund,
with the payment limited to the amount by which insurance benefits
under Medicare exceed the amounts payable under Canadian Provincial
plans.
Form AA-104, Application for Canadian Hospital Benefits Under
Medicare--Part A, is provided by the RRB for use in claiming benefits
for covered hospital services received in Canada. The form obtains
information needed to determine eligibility for, and the amount of any
reimbursement due the applicant. One response is requested of each
respondent. Completion is required to obtain a benefit. No changes are
proposed to Form AA-104.
Number of respondents: 35.
Estimated Completion Time: 10 minutes.
Estimated annual burden hours: 6.

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. 99-6493 Filed 3-16-99; 8:45 am]
BILLING CODE 7905-01-M

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/fr%3A99-6493. Public record. Not legal advice.