[Federal Register Volume 68, Number 31 (Friday, February 14, 2003)]
[Notices]
[Page 7623]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-3641]


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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 Survivor Death Benefits.
    (2) Form(s) submitted: AA-21, AA-21cert, G-273a, AA-11a, and G-131.
    (3) OMB Number: 3220-0031.
    (4) Expiration date of current OMB clearance: 04/30/2003.
    (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: 20,600.
    (8) Total annual responses: 20,600.
    (9) Total annual reporting hours: 5,150.
    (10) Collection description: The collection obtains the information 
needed to pay death benefits and annuities due but unpaid at death 
under the Railroad Retirement Act. Benefits are paid to designated 
beneficiaries or to survivors in a priority designated by law.
    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. 03-3641 Filed 2-13-03; 8:45 am]
BILLING CODE 7905-01-M