97-31168. Agency Forms Submitted for OMB Review  

  • [Federal Register Volume 62, Number 229 (Friday, November 28, 1997)]
    [Notices]
    [Page 63402]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 97-31168]
    
    
    =======================================================================
    -----------------------------------------------------------------------
    
    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: Application to Act as Representative Payee.
        (2) Form(s) submitted: AA-5, G-478.
        (3) OMB Number: 3220-0052.
        (4) Expiration date of current OMB clearance: 2/28/1998.
        (5) Type of request: Extension of a currently approved collection.
        (6) Respondents: Individuals or households.
        (7) Estimated annual number of respondents: 20,300.
        (8) Total annual responses: 20,300.
        (9) Total annual reporting hours: 16,350.
        (10) Collection description: Section 12 of the Railroad Retirement 
    Act provides for the payment of benefits to a representative payee when 
    an employee, spouse or survivor annuitant is incompetent or a minor. 
    The collection obtains information used by the Railroad Retirement 
    Board for selection of a representative payee and verification of an 
    annuitant's ability to manage payments.
    
    ADDITIONAL INFORMATION OR COMMENTS: Copies of the forms 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. 97-31168 Filed 11-26-97; 8:45 am]
    BILLING CODE 7905-01-M
    
    
    

Document Information

Published:
11/28/1997
Department:
Railroad Retirement Board
Entry Type:
Notice
Document Number:
97-31168
Pages:
63402-63402 (1 pages)
PDF File:
97-31168.pdf