[Federal Register Volume 70, Number 222 (Friday, November 18, 2005)]
[Notices]
[Page 69994]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-22833]


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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: Evidence of Marital Relationship--Living with 
Requirements.
    (2) Form(s) submitted: G-124, G-124a, G-237, G-238, and G-238a.
    (3) OMB Number: 3220-0021.
    (4) Expiration date of current OMB clearance: January 31, 2006.
    (5) Type of request: Extension of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 1,100.
    (8) Total annual responses: 1,100.
    (9) Total annual reporting hours: 196.
    (10) Collection description: Under the RRA, to obtain a benefit as 
a spouse of an employee annuitant or as the widow(er) of the deceased 
employee, applicants must submit information to be used in determining 
if they meet the marriage requirements for such benefits. The 
collection obtains information supporting claimed common-law marriage, 
termination of previous marriages and residency requirements.
    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. 05-22833 Filed 11-17-05; 8:45 am]
BILLING CODE 7905-01-P