[Federal Register Volume 69, Number 89 (Friday, May 7, 2004)]
[Notices]
[Pages 25617-25618]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-10390]


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RAILROAD RETIREMENT BOARD


Agency Forms Submitted for OMB Review

SUMMARY: In accordance with the Paperwork Reduction Act of 1995 (44

[[Page 25618]]

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: Supplement to Claim of Person Outside the 
United States.
    (2) Form(s) submitted: G-45.
    (3) OMB Number: 3220-0155.
    (4) Expiration date of current OMB clearance: 7/31/2004.
    (5) Type of request: Extension of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 100.
    (8) Total annual responses: 100.
    (9) Total annual reporting hours: 17.
    (10) Collection description: Under Public Law 98-21, the Tier I or 
overall minimum portion of an annuity and Medicare benefits payable 
under the Railroad Retirement Act to certain beneficiaries living 
outside the United States may be withheld. The collection obtains the 
information needed by the Railroad Retirement Board to implement the 
benefit withholding provisions of Public Law 98-21.

FOR FURTHER INFORMATION CONTACT: Copies of the forms and supporting 
documents can be obtained from Charles Mierzwa, the agency clearance 
officer(312-751-3363) or [email protected].
    Comments regarding the information collection should be addressed 
to Ronald J. Hodapp, Railroad Retirement Board, 844 North Rush Street, 
Chicago, Illinois, 60611-2092 or [email protected] 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.

Charles Mierzwa,
Clearance Officer.
[FR Doc. 04-10390 Filed 5-6-04; 8:45 am]
BILLING CODE 7905-01-P