[Federal Register Volume 67, Number 28 (Monday, February 11, 2002)]
[Notices]
[Page 6285]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-3175]


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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: Supplemental Information on Accident and 
Insurance.
    (2) Form(s) submitted: SI-1c, SI-5, ID-3s, ID-3s-1, ID3u, ID-30k, 
ID-30k-1.
    (3) OMB Number: 3220-0036.
    (4) Expiration date of current OMB clearance: 4/30/2002.
    (5) Type of request: Extension of a currently approved collection.
    (6) Respondents: Individuals or households, Business or other for-
profit.
    (7) Estimated annual number of respondents: 28,500.
    (8) Total annual responses: 28,500.
    (9) Total annual reporting hours: 1,691.
    (10) Collection description: The Railroad Unemployment Insurance 
Act provides for the recovery of sickness benefits paid if an employee 
receives a settlement for the same injury for which benefits were paid. 
The collection obtains information about the person or company 
responsible for such payments that is needed to determine the amount of 
the RRB's entitlement.

FOR FURTHER INFORMATION CONTACT: 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 to the OMB Desk 
Officer for the RRB, at the Office of Management and Budget, Room 
10230, New Executive Office Building, Washington, DC 20503.

Chuck Mierzwa,
Clearance Officer.
[FR Doc. 02-3175 Filed 2-8-02; 8:45 am]
BILLING CODE 7905-01-M