[Federal Register Volume 68, Number 250 (Wednesday, December 31, 2003)]
[Notices]
[Pages 75659-75660]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-32129]


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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 information 
collection is necessary for the proper performance of

[[Page 75660]]

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 to 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: Application for 
Survivor Insurance Annuities: OMB 3220-0030.
    Under Section 2(d) of the Railroad Retirement Act (RRA), monthly 
survivor annuities are payable to surviving widow(er)s, parents, 
unmarried children, and in certain cases, divorced wives (husbands), 
mothers (fathers), remarried widow(er)s, and grandchildren of deceased 
railroad employees. The collection obtains the information required by 
the RRB to determine entitlement to and the amount of the annuity 
applied for.
    The RRB currently utilizes Form(s) AA-17, Application for 
Widow(ers) Annuity, AA-17b Applications for Determination of Widow(er) 
Disability, AA-17cert, Application Summary and Certification, AA-18, 
Application for Mother's/Father's and Child's Annuity, AA-19, 
Application for Child's Annuity, AA-19a, Application for Determination 
of Child Disability, and AA-20, Application for Parent's Annuity to 
obtain the necessary information. One response is requested of each 
respondent. Completion is required to obtain benefits. The RRB proposes 
no changes to any of the forms currently in the information collection.

Estimate of Annual Respondent Burden

    The estimated annual respondent burden is as follows:

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                                                                      Annual
                            Form Nos.                                responses      Time (min)     Burden (hrs)
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AA-17 (manual, without assistance)..............................             150              47             113
AA-17b (with assistance)........................................             380              40             253
AA-17b (without assistance).....................................              20              50              17
AA-17cert.......................................................           3,265              20           1,088
AA-18 (manual, without assistance)..............................              12              47               9
AA-19 (manual, without assistance)..............................               9              47               7
AA-19a (with assistance)........................................             285              45             214
AA-19a (without assistance).....................................              15              65              16
AA-20 (manual, without assistance)..............................               1              47               1
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    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 N. Rush 
Street, Chicago, Illinois 60611-2092. Written comments should be 
received within 60 days of this notice.

Chuck Mierzwa,
Clearance Officer.
[FR Doc. 03-32129 Filed 12-30-03; 8:45 am]
BILLING CODE 7905-01-P