OMB. 3220-0200
Justification
Designation of Contact Officials
RRB Form G-117a
Circumstances of information collection – Section 7(b)(6) of the Railroad Retirement Act gives the RRB the authority to require railroad employers to furnish such information and records as shall be necessary for the administration of the Act. Further, Section 9 of the RRA and Section 6 of the RUIA requires railroad employers to file reports of compensation of employees. This information serves as the basis for calculating retirement, disability, and survivor awards as well as the payment of unemployment and sickness benefits.
2. Purposes of collecting/consequences of not collecting the information - Coordination between railroad employers and the RRB is essential for the RRB to properly administer the payment of benefits under the Railroad Retirement Act (RRA) and the Railroad Unemployment Insurance Act (RUIA). In order to enhance timely coordination activity, the RRB utilizes Form G-117a, Designation of Contact Officials.
Form G-117a is used by railroad employers to notify the RRB of the official designated to coordinate various functions under the Railroad Retirement Act (RRA) and the Railroad Unemployment Insurance Act (RUIA) with agency staff. The form provides the RRB with the name, title, address, phone number, facsimile number, and E-mail address of the contact.
3. Planned use of improved information technology or technical/legal impediments to further burden reduction – Given the low-usage estimated for Form G-117a, the RRB does not plan to automate the form at this time. It is available for downloading from the RRB’s website at http://www.rrb.gov/pdf/AandT/g117a.pdf and will be included on the RRB forms.gov location by no later than the end of August 2007.
4. Efforts to identify duplication - This information collection does not duplicate any other information collection.
5. Small business respondents - N.A.
6. Consequences of less frequent collection – Completion is voluntary.
7. Special Circumstances - N.A.
8. Consultations outside the agency - In accordance with 5 CFR 1320.8(d), comments were invited from the public regarding the information collection. The notice to the public was published on page 26657 of the May 10, 2007, Federal Register. No comments or requests for additional information were received.
9. Payments or gifts to respondents - None
10. Confidentiality – N.A
11. Sensitive questions - N.A.
Estimate of respondent burden - The estimated burden for the collection is unchanged as follows.
Current Burden
Form |
Annual Responses |
Time (Min) |
Burden Hours |
G-117a |
100 |
15 |
25 |
Total |
100 |
15 |
25 |
13. Estimated annual cost to respondents or record keepers - N.A.
14. Estimated cost to Federal Government - N.A.
15. Explanation for change in burden – N.A.
16 Time schedule for data collection and publication - N.A.
17. Request not display OMB expiration date - The G-117a is a low-usage form that will be seldom revised. Given the costs associated with redrafting, reprinting and distributing the form in order to keep the appropriate expiration date in place, the RRB requests the authority to not display the OMB expiration date on the form.
18. Exceptions to Certification Statement - None
| File Type | application/msword |
| Author | BDP-230 |
| File Modified | 2007-07-24 |
| File Created | 2001-07-17 |