[Federal Register Volume 59, Number 36 (Wednesday, February 23, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-3953]

[[Page Unknown]]

[Federal Register: February 23, 1994]




Agency Forms Submitted for OMB Review

SUMMARY: In accordance with the Paperwork Reduction Act of 1980 (44 
U.S.C. Chapter 35), the Railroad Retirement Board has submitted the 
following proposal(s) for the collection of information to the Office 
of Management and Budget for review and approval.

    (1) Collection title: Application and Claim for RUIA Benefits 
Unpaid at Death.
    (2) Form(s) submitted: UI-63.
    (3) OMB number: 3220-0055.
    (4) Expiration date of current OMB clearance: Three years from date 
of OMB approval.
    (5) Type of request: Revision of a currently approved collection.
    (6) Frequency of response: On occasion.
    (7) Respondents: Individuals or households.
    (8) Estimated annual number of respondents: 375.
    (9) Total annual responses: 375.
    (10) Average time per response: .06100 hours.
    (11) Total annual reporting hours: 23.
    (12) Collection description: The collection obtains the information 
needed by the Railroad Retirement Board to pay, under section 2(g) of 
the RUIA, benefits under that Act accrued, but not paid because of the 
death of employee.

ADDITIONAL INFORMATION OR COMMENTS: Copies of the form and supporting 
documents can be obtained from Dennis Eagan, the agency clearance 
officer (312-751-4693). Comments regarding the information collection 
should be addressed to Ronald J. Hodapp, Railroad Retirement Board, 844 
North Rush Street, Chicago, Illinois 60611-2092 and the OMB reviewer, 
Laura Oliven (202-395-7316), Office of Management and Budget, room 
3002, New Executive Office Building, Washington, DC 20503.
Dennis Eagan,
Clearance Officer.
[FR Doc. 94-3953 Filed 2-22-94; 8:45 am]