[Federal Register Volume 59, Number 43 (Friday, March 4, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-4971]
[[Page Unknown]]
[Federal Register: March 4, 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: Statements of Claimed Railroad Service and
Earnings.
(2) Form(s) submitted: UI-9, UI-23, ID-4F, ID-4U, ID-4X, ID-4Y, ID-
20-1, ID-20-2, ID-20-4, ID-20-5, ID-20-7.
(3) OMB Number: 3220-0025.
(4) Expiration date of current OMB clearance: Three years from date
of OMB approval.
(5) Type of request: Extension of the expiration date of a
currently approved collection without any change in the substance or in
the method of collection.
(6) Frequency of response: On occasion.
(7) Respondents: Individuals or households.
(8) Estimated annual number or respondents: 5,725.
(9) Total annual responses: 5,725.
(10) Average time per response: .10096 hours.
(11) Total annual reporting hours: 578.
(12) Collection description: When the railroad service and/or
compensation on the RRB's records is insufficient to qualify a claimant
for unemployment or sickness benefits, the statements obtain
information needed to reconcile the compensation and/or service on
record with that claimed by the employee.
ADDITIONAL INFORMATION OR COMMENTS: Copies of the form and supporting
documents can be obtained from Dennis Eagan, the agency clearance
officer (312-751-4693). 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
3002, New Executive Office Building, Washington, DC 20503.
Dennis Eagan,
Clearance Officer.
[FR Doc. 94-4971 Filed 3-3-94; 8:45 am]
BILLING CODE 7905-01-M
