[Federal Register Volume 67, Number 91 (Friday, May 10, 2002)]
[Notices]
[Page 31848]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-11763]


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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: Statement Regarding Contributions and 
Support.
    (2) Form(s) submitted: G-134.
    (3) OMB Number: 3220-0099.
    (4) Expiration date of current OMB clearance: 6/30/2002.
    (5) Type of request: Extension of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 100.
    (8) Total annual responses: 100.
    (9) Total and reporting hours: 259.
    (10) Collection description: Dependency on the employee for one-
half support at the time of the employee's death can be a condition 
affecting eligibility for a survivor annuity provided for under Section 
2 of the Railroad Retirement Act. One-half support is also a condition 
which may negate the public pension offset in Tier 1 for a spouse or 
widow(er).
    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 Rust 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 20450.

Chuck Mierzwa,
Clearance Officer.
[FR Doc. 02-11763 Filed 5-9-02; 8:45 am]
BILLING CODE 7905-1-M