[Federal Register Volume 59, Number 216 (Wednesday, November 9, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-27689]


[[Page Unknown]]

[Federal Register: November 9, 1994]


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RAILROAD RETIREMENT BOARD

 

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.

Summary of Proposal(s)

(1) Collection title: Statement of Claimant or Other Person
(2) Form(s) submitted: G-93
(3) OMB Number: 3220-0183
(4) Expiration date of current OMB clearance: Three years from date of 
OMB approval
(5) Type of request: Extension of the expiration date of a currently 
approved collection without any change in the substance or in the 
method of collection
(6) Frequency of response: On occasion
(7) Respondents: Individuals or households, business or other for-
profit
(8) Estimated annual number of respondents: 900
(9) Total annual responses: 900
(10) Average time per response: 0.25000 hours
(11) Total annual reporting hours: 225
(12) Collection description: Under Section 2 of the Railroad Retirement 
and the Railroad Unemployment Insurance Acts, pertinent information and 
proofs must be submitted by an applicant so that the Railroad 
Retirement Board can determine his or her entitlement to benefits. The 
collection obtains information supplementing or changing information 
previously provided by an applicant.

Additional Information or Comments

    Copies of the form and supporting documents can be obtained from 
Chuck Mierzwa, 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, D.C. 20503.
Chuck Mierzwa,
Clearance Officer.
[FR Doc. 94-27689 Filed 11-8-94; 8:45 am]
BILLING CODE 7905-01-M