98-4942. Agency Forms Submitted for OMB Review

[Federal Register Volume 63, Number 38 (Thursday, February 26, 1998)]
[Notices]
[Page 9876]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-4942]



[[Page 9876]]

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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 (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 and Claim for Sickness Benefits.
    (2) Form(s) submitted: SI-1a, SI-1b, SI-3, SI-7, SI-8, ID-7H, ID-
11A.
    (3) OMB Number: 3220-0039.
    (4) Expiration date of current OMB clearance: 4/30/1998.
    (5) Type of request: Revision of a currently approved collection.
    (6) Respondents: Individuals or households, business or other for 
profit.
    (7) Estimated annual number of respondents: 55,400.
    (8) Total annual responses: 270,900.
    (9) Total annual reporting hours: 27,921.
    (10) Collection description: Under Section 2 of the Railroad 
Unemployment Insurance Act, sickness benefits are provided for 
qualified railroad employees. The collection obtains information from 
employees and physicians needed for determining eligibility for and 
amount of such benefits.

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. 98-4942 Filed 2-25-98; 8:45 am]
BILLING CODE 7905-01-M