[Federal Register Volume 70, Number 106 (Friday, June 3, 2005)]
[Notices]
[Page 32673]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-11033]


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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 of Authority to Act for Employee.
    (2) Form(s) submitted: SI-10.
    (3) OMB Number: 3220-0034.
    (4) Expiration date of current OMB clearance: 08/31/2005.
    (5) Type of request: Extension of a currently approved collection.
    (6) Respondents: Individuals or households, Business or other for-
profit.
    (7) Estimated annual number of respondents: 400.
    (8) Total annual responses: 400.
    (9) Total annual reporting hours: 40.
    (10) Collection description: Under 20 CFR 335.2, the Railroad 
Retirement Board (RRB) accepts claims for sickness benefits by other 
than the sick or injured employees, provided the RRB has the 
information needed to satisfy itself that the delegation should be 
made.

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. 05-11033 Filed 6-2-05; 8:45 am]
BILLING CODE 7905-01-P