[Federal Register Volume 69, Number 176 (Monday, September 13, 2004)]
[Notices]
[Pages 55200-55201]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-20555]


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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: Application and claim for unemployment 
benefits and employment service.
    (2) Form(s) submitted: UI-1, UI-1 (Internet), UI-3, UI-3 
(Internet).
    (3) OMB number: 3220-0022.
    (4) Expiration date of current OMB clearance: 9/30/2006.
    (5) Type of request: Revision of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 11,200.
    (8) Total annual responses: 127,200.
    (9) Total annual reporting hours: 13,647.
    (10) Collection description: Under Section 2 of the Railroad 
Unemployment Insurance Act, unemployment benefits are provided for 
qualified railroad employees. The collection obtains the information 
needed for determining the eligibility to and amount of such benefits 
from railroad employees.
    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

[[Page 55201]]

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. 04-20555 Filed 9-10-04; 8:45 am]
BILLING CODE 7905-01-P