[Federal Register Volume 70, Number 120 (Thursday, June 23, 2005)]
[Notices]
[Page 36414]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-12473]


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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: Employee Non-covered Service Pension 
Questionnaire.
    (2) Form(s) submitted: G-209.
    (3) OMB Number: 3220-0154.
    (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: 500.
    (8) Total annual responses: 500.
    (9) Total annual reporting hours: 55.
    (10) Collection description: Under Section 3 of the Railroad 
Retirement Act, the Tier I portion of an employee annuity may be 
subjected to a reduction for benefits received based on work not 
covered under the Social Security Act or Railroad Retirement Act. The 
questionnaire obtains the information needed to determine if the 
reduction applies and the amount of such reduction.

ADDITIONAL INFORMATION OR COMMENTS: Copies of the forms and supporting 
documents can be obtained from Charles Mierzwa, the agency clearance 
officer at (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. 05-12473 Filed 6-22-05; 8:45 am]
BILLING CODE 7905-01-M