[Federal Register Volume 69, Number 132 (Monday, July 12, 2004)]
[Notices]
[Pages 41860-41861]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-15672]


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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: Certification Regarding Rights to 
Unemployment Benefits.
    (2) Form(s) submitted: UI-45.
    (3) OMB Number: 3220-0079.
    (4) Expiration date of current OMB clearance: 08/31/04.
    (5) Type of request: Revision of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 1,950.

[[Page 41861]]

    (8) Total annual responses: 2,900.
    (9) Total annual reporting hours: 487.
    (10) Collection description: In administering the disqualification 
for the voluntary leaving of work provision of section 4 of the 
Railroad Unemployment Insurance Act, the Railroad Retirement Board 
investigates an unemployment claim that indicates that the claimant 
left voluntarily. The certification obtains information needed to 
determine if the leaving was for good cause.

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. 04-15672 Filed 7-9-04; 8:45 am]
BILLING CODE 7905-01-M