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View ICR - OIRA Conclusion

OMB Control No: 3220-0082	ICR Reference No: 202606-3220-013
Status: Active	Previous ICR Reference No: 202411-3220-012
Agency/Subagency: RRB	Agency Tracking No:
Title: Medicare
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/25/2026
	Date Received in OIRA: 06/16/2026
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2028	05/31/2028	05/31/2028
Responses	3,840	0	3,840
Time Burden (Hours)	578	0	578
Cost Burden (Dollars)	0	0	0

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Employer Coverage Under an Employer Group Health Plan	RL-311F (08-22) Current, RL-311F (XX-XX) Proposed	,
Medicare	AA-6 (01-18) Current, AA-7 (XX-XX) Proposed, AA-6 (XX-XX) Proposed, AA-8 (XX-XX) Proposed, AA-24 (XX-XX) Proposed, AA-23 (XX-XX) Proposed, AA-7 (01-18) Current, AA-8 (01-18) Current	, , , , , , ,

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	3,840	3,840
Annual Time Burden (Hours)	578	578
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The overall annual responses increased from 2,240 to 3,840 and overall burden hours increased from 365 to 368 due to adding Forms AA-23 and AA-24 to the clearance.

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Brian Foster 312 751-4826 brian.foster@rrb.gov

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