[Federal Register Volume 70, Number 67 (Friday, April 8, 2005)]
[Notices]
[Page 18064]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-7035]


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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: Medical Reports.
    (2) Form(s) submitted: G-3EMP, G-197, G-250, G-250a, G-260, RL-11b, 
RL-11d and RL-250.
    (3) OMB Number: 3220-0038.
    (4) Expiration date of current OMB clearance: November 30, 2005.
    (5) Type of request: Revision of a currently approved collection.
    (6) Respondents: Businesses or other for-profit, Non-profit 
institutions, State, Local or Tribal Government.
    (7) Estimated annual number of respondents: 35,900.
    (8) Total annual responses: 35,900.
    (9) Total annual reporting hours: 10,001.
    (10) Collection description: The Railroad Retirement Act provides 
disability annuities for qualified railroad employees whose physical or 
mental condition renders them incapable of working in their regular 
occupation (occupational disability) or any occupation (total 
disability). The medical reports obtain information needed for 
determining the nature and severity of the impairment.
    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. 05-7035 Filed 4-7-05; 8:45 am]
BILLING CODE 7905-01-P