[Federal Register Volume 70, Number 106 (Friday, June 3, 2005)]
[Notices]
[Pages 32672-32673]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-11032]


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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.
    (2) Form(s) submitted: G-134.
    (3) OMB Number: 3220-0099.
    (4) Expiration date of current OMB clearance: 09/30/2005.
    (5) Type of request: Extension of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 100.
    (8) Total annual responses: 100.
    (9) Total annual reporting hours: 259.
    (10) Collection description: Dependency on the employee for one-
half support at the time of the employee's death can be a condition 
affecting eligibility for a survivor annuity provided for under Section 
2 of the Railroad Retirement Act. One-half support is also a condition 
which may

[[Page 32673]]

negate the public service pension offset in Tier 1 for a spouse or 
widow(er).

FOR FURTHER INFORMATION CONTACT: 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. 05-11032 Filed 6-2-05; 8:45 am]
BILLING CODE 7905-01-P