96-9299. Agency Forms Submitted for OMB Review  

  • [Federal Register Volume 61, Number 74 (Tuesday, April 16, 1996)]
    [Notices]
    [Pages 16655-16656]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 96-9299]
    
    
    
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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: Certification of Relinquishment of Rights.
        (2) Form(s) submitted: G-88.
        (3) OMB Number: 3220-0016.
        (4) Expiration date of current OMB clearance: June 30, 1996.
    
    [[Page 16656]]
    
        (5) Type of request: Extension of a currently approved collection.
        (6) Respondents: Individuals or households.
        (7) Estimated annual number of respondents: 3,600.
        (8) Total annual responses: 3,600.
        (9) Total annual reporting hours: 360.
        (10) Collection description: Under Section 2(e)(2) of the Railroad 
    Retirement Act, the Railroad Retirement Board must have evidence that 
    an annuitant for an age and service, spouse, or divorced spouse annuity 
    has relinquished their rights to return to the service of a railroad 
    employer. The collection provides the means for obtaining this 
    evidence.
    
    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. 96-9299 Filed 4-15-96; 8:45 am]
    BILLING CODE 7905-01-M
    
    

Document Information

Published:
04/16/1996
Department:
Railroad Retirement Board
Entry Type:
Notice
Document Number:
96-9299
Pages:
16655-16656 (2 pages)
PDF File:
96-9299.pdf