[Federal Register Volume 68, Number 141 (Wednesday, July 23, 2003)]
[Notices]
[Page 43553]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-18687]


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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: Statement of Claimant or Other Person.
    (2) Form(s) submitted: G-93.
    (3) OMB Number: 3220-0183.
    (4) Expiration date of current OMB clearance:
    (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: 900.
    (8) Total annual responses: 900.
    (9) Total annual reporting hours: 225.
    (10) Collection description: Under Section 2 of the Railroad 
Retirement Act and the Railroad Unemployment Insurance Act, pertinent 
information and proofs must be submitted by an applicant so that the 
Railroad Retirement Board can determine his or her entitlement to 
benefits. The collection obtains information supplementing or changing 
information previously provided by an applicant.
    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. 03-18687 Filed 7-22-03; 8:45 am]
BILLING CODE 7905-01-M