[Federal Register Volume 66, Number 5 (Monday, January 8, 2001)]
[Notices]
[Page 1368]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-405]


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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: Railroad Unemployment Insurance Act 
Applications.
    (2) Form(s) submitted: SI-1a, SI-1b, SI-3, SI-7, SI-8, ID-7H, ID-
11A, ID-11B.
    (3) OMB Number: 3220-0039.
    (4) Expiration date of current OMB clearance: 4/30/2001.
    (5) Type of request: Revision of a currently approved collection.
    (6) Respondents: Individuals or Households, Business or other for-
profit.
    (7) Estimated annual number of respondents: 55,400.
    (8) Total annual responses: 271,900.
    (9) Total annual reporting hours: 27,971.
    (10) Collection description: Under Section 2 of the Railroad 
Unemployment Insurance Act, unemployment and sickness benefits are 
provided for qualified railroad employees. The collection obtains 
information needed to determine eligibility for an amount of such 
benefits from railroad employees and physicians. Also collects 
information from individuals acting on behalf of sick or injured 
employees and supplemental information from railroad employers 
regarding settlement of injuries or accidents for which sickness 
benefits were paid.

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 (202-395-7316), 
Office of Management and Budget, Room 10230, New Executive Office 
Building, Washington, DC 20503.

Chuck Mierzwa,
Clearance Officer.
[FR Doc. 01-405 Filed 1-5-01; 8:45 am]
BILLING CODE 7905-01-M