[Federal Register Volume 69, Number 122 (Friday, June 25, 2004)]
[Notices]
[Page 35692]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-14465]


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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: Designation of Contact Officials.
    (2) Form(s) submitted: G-117a.
    (3) OMB Number: 3220-NEW.
    (4) Expiration date of current OMB clearance: N.A.
    (5) Type of request: New collection.
    (6) Respondents: Business or other for-profit.
    (7) Estimated annual number of respondents: 100.
    (8) Total annual responses: 100.
    (9) Total annual reporting hours: 25.
    (10) Collection description: The Railroad Retirement Board (RRB) 
requests that railroad employers designate employees to act as liaison 
with the RRB on a variety of Railroad Retirement Act and Railroad 
Unemployment Insurance Act matters.

FOR FURTHER INFORMATION CONTACT: Copies of the forms and supporting 
documents can be obtained by contacting Charles Mierzwa, the agency 
clearance officer, at (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. 04-14465 Filed 6-24-04; 8:45 am]
BILLING CODE 7905-01-P