Skip to Content


Agency Forms Submitted for OMB Review, Request for Comments

Document Details

Information about this document as published in the Federal Register.

Document Statistics
Document page views are updated periodically throughout the day and are cumulative counts for this document including its time on Public Inspection. Counts are subject to sampling, reprocessing and revision (up or down) throughout the day.
Published Document

This document has been published in the Federal Register. Use the PDF linked in the document sidebar for the official electronic format.

Start Preamble

Summary: In accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35), the Railroad Retirement Board (RRB) is forwarding an Information Collection Request (ICR) to the Office of Information and Regulatory Affairs (OIRA), Office of Management and Budget (OMB) to request a revision to the following collection of information: 3220-0052, Application to Act as Representative Payee, consisting of RRB Form(s) AA-5, Application for Substitution of Payee, G-478, Statement Regarding Patient's Capability to Manage Payments and booklet RB-5, Your Duties as Representative Payee-Representative Payee Record. Our ICR describes the information we seek to collect from the public. Completion is required to obtain or retain benefits. One response is required of each respondent. Review and approval by OIRA ensures that we impose appropriate paperwork burdens.

The RRB invites comments on the proposed collection of information to determine (1) The practical utility of the collection; (2) the accuracy of the estimated burden of the collection; (3) ways to enhance the quality, utility and clarity of the information that is the subject of collection; and (4) ways to minimize the burden of collections on respondents, including the use of automated collection techniques or other forms of information technology. Comments to RRB or OIRA must contain the OMB control number of the ICR. For proper consideration of your comments, it is best if RRB and OIRA receive them within 30 days of publication date.

Previous Requests for Comments: The RRB has already published the initial 60-day notice (71 FR No. 227 on 68644 and 68645 on November 27, 2006) required by 44 U.S.C. 3506(c)(2). That request elicited no comments.

Information Collection Request (ICR)

Title: Application to Act as Representative Payee.

OMB Control Number: 3220-0052.

Form(s) submitted: AA-5, Application for Substitution of Payee; G-478, Statement Regarding Patient's Capability to Manage Payments; and RB-5, your duties as Representative Payee's Record.

Type of request: Revision of a currently approved collection.

Affected public: Individuals or households; Business or other for Profit.

Abstract: Under Section 12 of the Railroad Retirement Act, the Railroad Retirement Board (RRB) may pay benefits to a representative payee when an employee, spouse or survivor annuitant is incompetent or is a minor. The collection obtains information related to the representative payee application, supporting documentation, and the maintenance of records pertaining to the receipt and use of the benefits.

Changes Proposed: The RRB proposes a revised title for the information collection (currently Railroad Retirement Act Continuing Entitlement), Application to Act as Representative Payee, to more accurately reflect the information collected. No changes are proposed to the forms in the collection.

The burden estimate for the ICR is as follows:

Estimated annual number of respondents: 17,300.

Total annual responses: 20,300.

Total annual reporting hours: 16,350.

Additional Information or Comments: Copies of the forms and supporting documents can be obtained from Charles Mierzwa, the agency clearance officer (312-751-3363) or

Comments regarding the information collection should be addressed to Ronald J. Hodapp, Railroad Retirement Board, 844 North Rush Street, Chicago, Illinois, 60611-2092 or and to the OMB Desk Officer for the RRB, at the Office of Management and Budget, Room 10230, New Executive Office Building, Washington, DC 20503.

Start Signature

Charles Mierzwa,

Clearance Officer.

End Signature End Preamble

[FR Doc. E7-7001 Filed 4-12-07; 8:45 am]