[Federal Register Volume 68, Number 171 (Thursday, September 4, 2003)]
[Notices]
[Page 52620]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-22479]


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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 Employee Annuity Under the 
Railroad Retirement Act.
    (2) Form(s) submitted: AA-1, AA-1cert, AA-1d, G-204.
    (3) OMB Number: 3220-0002.
    (4) Expiration date of current OMB clearance: 10/31/2003.
    (5) Type of request: Revision of a currently approved collection.
    (6) Respondents: Individuals or household.
    (7) Estimated annual number of respondents: 13,400.
    (8) Total annual responses: 19,100.
    (9) Total annual reporting hours: 10,083.
    (10) Collection description: The Railroad Retirement Act provides 
for payment of age, disability, and supplemental annuities to qualified 
employees. The application and related forms obtain information about 
the applicant's family work history, military service, disability 
benefits from other government agencies and public or private pensions. 
The information is used to determine entitlement to and the amount of 
the annuity applied for.

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. 03-22479 Filed 9-3-03; 8:45 am]
BILLING CODE 7905-01-M