97-3615. Agency Forms Submitted for OMB Review

[Federal Register Volume 62, Number 30 (Thursday, February 13, 1997)]
[Notices]
[Page 6814]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-3615]


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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: Application for Spouse Annuity Under the 
Railroad Retirement Act.
    (2) Form(s) submitted: AA-3
    (3) OMB Number: 3220-0042
    (4) Expiration date of current OMB clearance: May 31, 1997
    (5) Type of request: Revision of a currently approved collection.
    (6) Respondents: Individuals or households
    (7) Estimated annual number of respondents: 10,800
    (8) Total annual responses: 10,800
    (9) Total annual reporting hours: 5,982
    (10) Collection description: The Railroad Retirement Act (RRA) 
provides for the payment of annuities to spouses of railroad retirement 
annuitants who meet the requirements under the RRA. The application 
obtains information supporting the claim for benefits based on being a 
spouse of an annuitant.
    The information is used in determining entitlement to and amount of 
the 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, DC 20503.
Chuck Mierzwa,
Clearance Officer.
[FR Doc. 97-3615 Filed 2-12-97; 8:45 am]
BILLING CODE 7905-01-M