[Federal Register Volume 65, Number 153 (Tuesday, August 8, 2000)]
[Notices]
[Pages 48540-48541]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-19958]


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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 (RRB) 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: Medicare.
    (2) Form(s) submitted: AA-6, AA-7, AA-8.
    (3) OMB Number: 3220-0082.
    (4) Expiration date of current OMB clearance: 9/30/2000.
    (5) Type of Request: Revision of a currently approved collection.
    (6) Respondents: Individuals or households; Business or other-for-
profit; State, Local or Tribal Government.
    (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. It obtains information needed to enroll non-retired 
employees and survivor applicants in the plan; information to pay 
claims for services under Part B of the program; information providing 
for review of claims determinations; information needed to determine 
entitlement to a special enrollment period and information needed to 
determine entitlement to Supplementary Medical coverage.

Additional Information or Comments

    Copies of the forms 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, Joe Lackey (202-

[[Page 48541]]

359-7316), Office of Management and Budget, Room 10230, New Executive 
Office Building, Washington, D.C. 20503.

Chuck Mierzwa,
Clearance Officer.
[FR Doc. 00-19958 Filed 8-7-00; 8:45 am]
BILLING CODE 7905-01-M