[Federal Register Volume 70, Number 213 (Friday, November 4, 2005)]
[Notices]
[Page 67203]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-21979]


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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: Medicare.
    (2) Form(s) submitted: AA-6, AA-7, AA-8, RL-311-F.
    (3) OMB Number: 3220-0082.
    (4) Expiration date of current OMB clearance: 12/31/2005.
    (5) Type of request: Revision of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 1,040.
    (8) Total annual responses: 1,040.
    (9) Total annual reporting hours: 165.
    (10) Collection description: The Railroad Retirement Board 
administers the Medicare program for persons covered by the railroad 
retirement system. The forms in the collection obtain information 
needed to enroll non-retired employees and survivor applicants in the 
plan and also obtain information from railroad employers needed to 
determine if a railroad retirement beneficiary is entitled to a special 
enrollment period when applying for supplemental medical coverage under 
Medicare.
    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. 05-21979 Filed 11-3-05; 8:45 am]
BILLING CODE 7905-01-P