[Federal Register Volume 70, Number 42 (Friday, March 4, 2005)]
[Notices]
[Page 10695]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-4168]


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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: Statement Regarding Contributions and Support 
of Children.
    (2) Form(s) Submitted: G-139.
    (3) OMB Number: 3220-0195.
    (4) Expiration Date of Current OMB Clearance: 05/31/2005.
    (5) Type of Request: Extension of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated Annual Number of Respondents: 500.
    (8) Total Annual Responses: 500.
    (9) Total Annual Reporting Hours: 500.
    (10) Collection Description: Dependency on the employee for at 
least one-half support is a condition affecting eligibility for 
increasing an employee or spouse annuity under the social security 
overall minimum provisions on the basis of the presence of a dependent 
child, the employee's natural child in limited situations, adopted 
children, stepchildren, grandchildren and step-grandchildren. The 
information collected solicits financial information needed to 
determine entitlement to a child's annuity based on actual dependency.
    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. 05-4168 Filed 3-3-05; 8:45 am]
BILLING CODE 7905-01-P