[Federal Register Volume 67, Number 177 (Thursday, September 12, 2002)]
[Notices]
[Page 57857]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-23144]


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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: Medical Reports.
    (2) Form(s) submitted: G-3EMP, G-250, G-250a, G-260, RL-11b, RL-
11d.
    (3) OMB Number: 3220-0038.
    (4) Expiration date of current OMB clearance: 10/31/2002.
    (5) Type of request: Extension of a currently approved collection.
    (6) Respondents: Business or other for-profit, non-profit 
institutions, State, Local or Tribal government.
    (7) Estimated annual number of respondents: 29,950.
    (8) Total annual responses: 29,950.
    (9) Total annual reporting hours: 12,417.
    (10) Collection description: The Railroad Retirement Act provides 
disability annuities for qualified railroad employees whose physical or 
mental condition renders them incapable of working in their regular 
occupation (occupational disability) or any occupation (total 
disability). The medical reports obtain information needed for 
determining the nature and severity of the impairment.
    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. 02-23144 Filed 9-11-02; 8:45 am]
BILLING CODE 7905-01-M