[Federal Register Volume 67, Number 95 (Thursday, May 16, 2002)]
[Notices]
[Pages 34963-34964]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-12234]


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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-1cert, AA-1d, G-204.
    (3) OMB Number: 3220-0002.
    (4) Expiration date of current OMB clearance: 4/30/2004.
    (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 related 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

[[Page 34964]]

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 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. 02-12234 Filed 5-15-02; 8:45 am]
BILLING CODE 7905-01-M