[Federal Register Volume 69, Number 113 (Monday, June 14, 2004)]
[Notices]
[Page 33081]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-13229]


-----------------------------------------------------------------------

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: Self-Employment Questionnaire.
    (2) Form(s) submitted: AA-4.
    (3) OMB Number: 3220-0138.
    (4) Expiration date of current OMB clearance: 07/31/2004.
    (5) Type of request: Extension of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 600.
    (8) Total annual responses: 600.
    (9) Total annual reporting hours: 415.
    (10) Collection description: Section 2 of the Railroad Retirement 
Act provides for payment of annuities to qualified employees and their 
spouses. Work for a Last Pre-Retirement Non-railroad Employer (LPE), 
and work in self-employment affect payment in different ways. This 
collection obtains information to determine whether claimed self-
employment is really self-employment, and not work for a railroad or 
LPE.
    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. 04-13229 Filed 6-10-04; 8:45 am]
BILLING CODE 7905-01-P