94-30200. Agency Forms Submitted for OMB Review

[Federal Register Volume 59, Number 235 (Thursday, December 8, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-30200]


[[Page Unknown]]

[Federal Register: December 8, 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: Application for Employee Annuity Under the 
Railroad Retirement Act
(2) Form(s) submitted: AA-1, AA-1d and G-204
(3) OMB Number: 3220-0002
(4) Expiration date of current OMB clearance: January 31, 1995
(5) Type of request: Revision of a currently approved collection
(6) Frequency of response: On occasion
(7) Respondents: Individuals or households
(8) Estimated annual number of respondents: 16,700
(9) Total annual responses: 22,325
(10) Average time per response: 0.52067 hours
(11) Total annual reporting hours: 11,624
(12) Collection description: The RRA provides for payment of age, 
disability and supplemental annuities to qualified employees. The 
application and related forms obtain information about the applicant's 
family work history, military service, disability benefits from other 
government agencies and public or private pensions. The information is 
used to determine entitlement to and amount of annuity applied for.

    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. 94-30200 Filed 12-7-94; 8:45 am]
BILLING CODE 7905-01-M