94-25001. Agency Forms Submitted for OMB Review

[Federal Register Volume 59, Number 195 (Tuesday, October 11, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-25001]


[[Page Unknown]]

[Federal Register: October 11, 1994]


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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: Self-Employment Questionnaire
(2) Form(s) submitted: AA-4
(3) OMB Number: 3220-0138
(4) Expiration date of current OMB clearance: Three years from date of 
OMB approval
(5) Type of request: Extension of the expiration date of a currently 
approved collection without any change in the substance or in the 
method of collection
(6) Frequency of response: On occasion
(7) Respondents: Individuals or households
(8) Estimated annual number of respondents: 450
(9) Total annual responses: 450
(10) Average time per response: 0.69110 hours
(11) Total annual reporting hours: 311
(12) Collection description: Section 2 of the Railroad Retirement Act 
provides for payment of annuities to qualified employees and their 
spouses. Work for a railroad, work for a ``Last pre-retirement non-
railroad employer'' (LPE), and work in self-employment affect payment 
in different ways. This collection obtains information to determine 
whether claimed self-employment is really self-employment, and not work 
for a railroad or LPE.

    Additional Information or Comments: Copies of the form and 
supporting documents can be obtained from Dennis Eagan, the agency 
clearance officer (312-751-4693). 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 3002, New Executive Office Building, Washington, DC 20503.
Dennis Eagan,
Clearance Officer.
[FR Doc. 94-25001 Filed 10-7-94; 8:45 am]
BILLING CODE 7905-01-M