[Federal Register Volume 69, Number 141 (Friday, July 23, 2004)]
[Notices]
[Page 44070]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-16777]



[[Page 44070]]

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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: Pay Rate Report.
    (2) Form(s) submitted: UI-1e.
    (3) OMB Number: 3220-0097.
    (4) Expiration date of current OMB clearance: 10/31/2004.
    (5) Type of request: Extension of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 350.
    (8) Total annual responses: 350.
    (9) Total annual reporting hours: 29.
    (10) Collection description: Under the Railroad Unemployment 
Insurance Act, the daily benefit rate for unemployment and sickness 
benefits depends on the employee's last daily rate of pay. The report 
obtains information from the employee and verification from the 
employer of the claimed rate of pay for use in determining whether an 
increase in the daily benefit rate is due.
    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. 04-16777 Filed 7-22-04; 8:45 am]
BILLING CODE 7905-01-P