[Federal Register Volume 68, Number 98 (Wednesday, May 21, 2003)]
[Notices]
[Pages 27866-27867]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-12691]


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RAILROAD RETIREMENT BOARD


Proposed Collection: Comment Request

SUMMARY: In accordance with the requirement of Section 3506(c)(2)(A) of 
the Paperwork Reduction Act of 1995 which provides opportunity for 
public comment on new or revised data collections, the Railroad 
Retirement Board (RRB) will publish periodic summaries of proposed data 
collections.
    Comments are invited on: (a) Whether the proposed collection is 
necessary for the proper performance of the functions of the agency, 
including whether the information has practical utility; (b) the 
accuracy of the RRB's estimate of the burden of the collection of the 
information; (c) ways top enhance the quality, utility, and clarity of 
the information to be collected; and (d) ways to minimize the burden 
related to the collection of information on respondents, including the 
use of automated collection techniques or other forms of information 
technology.
    Title and purpose of information collection: Statement of Claimant 
or Other Person; OMB 3220-0183. To support an application for an 
annuity under Section 2 of the Railroad Retirement Act (RRA) or for 
unemployment benefits under Section 2 of the Railroad Unemployment 
Insurance Act (RUIA), pertinent information and proofs must be 
furnished for the RRB to determine benefit entitlement. Circumstances 
may require an applicant or other person(s) having knowledge of facts 
relevant to the applicant's eligibility for an annuity or benefits to 
provide written statements supplementing or changing statements 
previously provided by the applicant. Under the railroad retirement 
program these statements may relate to changes in annuity beginning 
date(s), dates for marriage(s), birth(s), prior railroad or non-
railroad employment, an applicant's request for reconsideration of an 
unfavorable RRB eligibility determination for an annuity or various 
other matters. The statements may also be used by the RRB to secure a 
variety of information needed to determine eligibility to unemployment 
and sickness benefits. Procedures related to providing information 
needed for RRA annuity or RUIA benefit eligibility determinations are 
prescribed in 20 CFR parts 217 and 320 respectively.
    The RRB utilizes Form G-93, Statement of Claimant or Other Person 
to obtain the supplemental or corrective information from applicants or 
other persons needed to determine applicant eligibility for an RRA 
annulity or RUIA benefits.
    The RRB proposes no changes to Form G-93.
    The completion time for Form G-93 is estimated at 15 minutes per 
response. The RRB estimates that approximately 900 Form G-93's are 
received annually. Completion is voluntary. One response is requested 
of each respondent.
    Additional Information or Comments: To request more information or 
to obtain a copy of the information collection justification, forms, 
and/or supporting material, please call the RRB Clearance Officer at 
(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. Written comments

[[Page 27867]]

should be received within 60 days of this notice.

Chuck Mierzwa,
Clearance Officer.
[FR Doc. 03-12691 Filed 5-20-03; 8:45 am]
BILLING CODE 7905-01-M