[Federal Register Volume 62, Number 92 (Tuesday, May 13, 1997)]
[Notices]
[Page 26342]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-12459]



[[Page 26342]]

=======================================================================
-----------------------------------------------------------------------

RAILROAD RETIREMENT BOARD


Agency Forms Submitted for OMB Review

    Summary: In accordance with the Paperwork Reduction Act of 1995 (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: Application for Hospital Insurance Benefits.
    (2) Form(s) submitted: AA-6, AA-7, AA-8.
    (3) OMB Number: 3220-0082.
    (4) Expiration date of current OMB clearance: 6/30/1997.
    (5) Type of request: Extension of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 240.
    (8) Total annual responses: 240.
    (9) Total annual reporting hours: 32.
    (10) Collection description: The Railroad Retirement Board 
administers the Medicare program for persons covered by the railroad 
retirement system. The collection obtains information from non-retired 
employees and survivor applicants that is needed for enrollment in the 
plan.
    Additional Information or Comments: Copies of the form and 
supporting documents can be obtained from Chuck Mierzwa, the agency 
clearance officer (312-751-3363). 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 10230, New Executive Office Building, Washington, D.C. 20503.
Chuck Mierzwa,
Clearance Officer.
[FR Doc. 97-12459 Filed 5-12-97; 8:45 am]
BILLING CODE 7905-01-M