95-1454. Agency Forms Submitted for OMB Review

[Federal Register Volume 60, Number 13 (Friday, January 20, 1995)]
[Notices]
[Page 4208]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-1454]



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RAILROAD RETIREMENT BOARD


Agency Forms Submitted for OMB Review

SUMMARY: In accordance with the Paperwork Reduction Act of 1980 (44 
U.S.C. Chapter 35), the Railroad Retirement Board 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: Application and Claim for Unemployment 
Benefits and Employment Service.
    (2) Form(s) submitted: UI-1 (ES-1), UI-3.
    (3) OMB Number: 3220-0022.
    (4) Expiration date of current OMB clearance: November 30, 1996.
    (5) Type of request: Revision of a currently approved 
collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 29,000.
    (8) Total annual responses: 294,000.
    (9) Total annual reporting hours: 26,916.
    (10) Collection description: Under Section 2 of the Railroad 
Unemployment Insurance Act, unemployment benefits are provided for 
qualified railroad employees. The collection obtains from railroad 
employees who apply for and claim unemployment benefits the 
information needed for determining eligibility for and amount of 
such benefits.

ADDITIONAL INFORMATION OR COMMENTS: Copies of the form and supporting 
documents can be obtained from Chuck Mierzwa, the agency clearance 
officer (312-751-3363). Comments regarding the information collection 
should be addressed to Ronald J. Hodapp, Railroad Retirement Board, 844 
North Rush Street, Chicago, Illinois 60611-2092 and the OMB reviewer, 
Laura Oliven (202-395-7316), Office of Management and Budget, Room 
10230, New Executive Office Building, Washington, D.C. 20503.
Chuck Mierzwa,
Clearance Officer.
[FR Doc. 95-1454 Filed 1-19-95; 8:45 am]
BILLING CODE 7905-01-M