[Federal Register Volume 69, Number 109 (Monday, June 7, 2004)]
[Notices]
[Page 31850]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-12738]


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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: Appeal under the Railroad Retirement and 
Railroad Unemployment Insurance Act.
    (2) Form(s) submitted: HA-1.
    (3) OMB Number: 3220-0007.
    (4) Expiration date of current OMB clearance: 08/31/2004.
    (5) Type of request: Extension of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 860.
    (8) Total annual responses: 860.
    (9) Total annual reporting hours: 285.
    (10) Collection description: Under section 7(b)(3) of the Railroad 
Retirement Act and section 5(c) of the Railroad Unemployment Insurance 
Act, a person aggrieved by a decision on his or her application for an 
annuity or other benefit has the right to appeal to the RRB. The 
collection provides the means for the appeal action.
    Additional Information or Comments: 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. 04-12738 Filed 6-4-04; 8:45 am]
BILLING CODE 7905-01-P