95-11458. Agency Forms Submitted for OMB Review

[Federal Register Volume 60, Number 90 (Wednesday, May 10, 1995)]
[Notices]
[Page 24935]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-11458]



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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: Annual Earnings Monitoring
(2) Form(s) submitted: RRB Form G-19 (I), (II), (III), (IV), (V)
(3) OMB Number: 3220-0073
(4) Expiration date of current OMB clearance: June 30, 1995
(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: 2,700
(8) Total annual responses: 2,700
(9) Total annual reporting hours: 450
(10) Collection description: The report obtains information about a 
survivor annuitant's employment and earnings. Under the RRA, an annuity 
can be reduced or not paid, depending on the amount of earnings and 
type of work performed.

    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. 95-11458 Filed 5-9-95; 8:45 am]
BILLING CODE 7905-01-M