96-26803. Agency Forms Submitted for OMB Review

[Federal Register Volume 61, Number 203 (Friday, October 18, 1996)]
[Notices]
[Page 54466]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-26803]


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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 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 Martial 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: November 30, 1996.
    (5) Type of request: Extension of a currently approved collection.
    (6) Respondents: Individuals or households, State, Local or Tribal 
Government.
    (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 of 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 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. 96-26803 Filed 10-17-96; 8:45 am]
BILLING CODE 7905-01-M