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.

Title and Purpose of information collection: Request for Medicare

payment; OMB 3220-0131. Under section 7(d) of the Railroad Retirement

Act, the RRB administers the Medicare program for persons covered by

the railroad retirement system. The collection obtains the information

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needed by the United Healthcare Insurance Company, the Medicare carrier

for railroad retirement beneficiaries, to pay claims for payments under

Part B of the Medicare program. Authority for collecting the

information is prescribed in 42 CFR 424.32.

The RRB currently utilizes Forms G-740S and HCFA 1500 to secure the

information necessary to pay Part B Medicare Claims. One response is

completed for each claim. Completion is required to obtain a benefit.

No changes are proposed to RRB Form G-740S or HCFA Form 1500. The RRB

estimates annual respondent burden associated with RRB Form G-740S as

follows:

Estimated number of responses: 100.

Estimated completion time per response: 15 minutes.

Estimated annual burden hours: 25.

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. 99-8036 Filed 3-31-99; 8:45 am]

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