[Federal Register Volume 70, Number 47 (Friday, March 11, 2005)]
[Notices]
[Pages 12248-12249]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-4777]


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RAILROAD RETIREMENT BOARD


Proposed Data Collection; Comment Request

SUMMARY: In accordance with the requirement of Section 3506(c)(2)(A) of 
the Paperwork Reduction Act of 1995 which provides opportunity for 
public comment on new or revised data collections, the Railroad 
Retirement Board will publish periodic summaries of proposed data 
collections.
    Comments Are Invited on: (a) Whether the proposed information 
collection is necessary for the proper performance of the functions of 
the agency, including whether the information has practical utility; 
(b) the accuracy of the RRB's estimate of the burden of the collection 
of the information; (c) ways to enhance the quality, utility, and 
clarity of the information to be collected; and (d) ways to minimize 
the burden related to the collection of information on respondents, 
including the use of automated collection techniques or other forms of 
information technology.

[[Page 12249]]

    Title and Purpose of Information Collection: Statement Regarding 
Contributions and Support: OMB 3220-0099.
    Under Section 2 of the Railroad Retirement Act, dependency on an 
employee for one-half support at the time of an employee's death can be 
a condition affecting entitlement to a survivor annuity and can affect 
the amount of both spouse and survivor annuities. One-half support is 
also a condition which may negate the public service pension offset in 
Tier I for a spouse or widow(er). The Railroad Retirement Board (RRB) 
utilizes Form G-134, Statement Regarding Contributions and Support, to 
secure information needed to adequately determine if the applicant 
meets the one-half support requirement. One form is completed by each 
respondent.
    Non-burden impacting editorial and formatting changes are being 
proposed to Form G-134 for clarification purposes.

Estimate of Annual Respondent Burden

    The estimated annual respondent burden is as follows:

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                                                                                     Estimated
                            Form No.                                  Annual        completion     Burden  (hrs)
                                                                     responses      time  (min)
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G-134:
    With assistance.............................................              75             147             184
    Without assistance..........................................              25             180              75
                                                                 -----------------
        Total...................................................             100  ..............             259
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    Additional Information or Comments: To request more information or 
to obtain a copy of the information collection justification, forms, 
and/or supporting material, please call the RRB Clearance Officer at 
(312) 751-3363 or send an e-mail request to [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 send an e-mail to 
[email protected]. Written comments should be received within 60 
days of this notice.

Charles Mierzwa,
Clearance Officer.
[FR Doc. 05-4777 Filed 3-10-05; 8:45 am]
BILLING CODE 7905-01-P