[Federal Register Volume 66, Number 48 (Monday, March 12, 2001)]
[Notices]
[Page 14423]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-5978]


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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: Application for Employee Annuity Under the 
Railroad Retirement Act.
    (2) Form(s) submitted: AA-1, AA-1d, G-204.
    (3) OMB Number: 3220-0002.
    (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.
    (7) Estimated annual number of respondents: 13,400.
    (8) Total annual responses: 19,100.
    (9) Total annual reporting hours: 11,634.
    (10) Collection description: The Railroad Retirement Act provides 
for payment of age, disability and supplemental annuities to qualified 
employees. The application and relate forms obtain information about 
the applicant's family work history, military service, disability 
benefits from other government agencies and public or private pensions. 
The information is used to determine entitlement to and the amount of 
the annuity applied for.

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

Chuck Mierzwa,
Clearance Officer.
[FR Doc. 01-5978 Filed 3-9-01; 8:45 am]
BILLING CODE 7905-01-M