[Federal Register Volume 67, Number 201 (Thursday, October 17, 2002)]
[Notices]
[Page 64151]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-26358]


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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 Railroads 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 and Claim for Benefits.
    (2) Form(s) submitted: UI-63.
    (3) OMB Number: 3220-0055.
    (4) Expiration date of current OMB clearance: February 28, 2003.
    (5) Type of request: Extension of a currently approved collection.
    (6) Respondents: Individuals or Households.
    (7) Estimated annual number of respondents: 200.
    (8) Total annual responses: 200.
    (9) Total annual reporting hours: 23.
    (10) Collection description: The collection obtains the information 
needed by the Railroad Retirement Board to pay, under Section 2(g) of 
the RUIA, benefits under that Act accrued, but not paid because of the 
death of the employee.

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. 02-26358 Filed 10-16-02; 8:45 am]
BILLING CODE 7905-01-M