95-12132. Agency Forms Submitted for OMB Review
[Federal Register Volume 60, Number 95 (Wednesday, May 17, 1995)]
[Notices]
[Page 26468]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-12132]
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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: Appeal under the Railroad Retirement and
Railroad Unemployment Insurance Act.
(2) Form(s) submitted: HA-1.
(3) OMB Number: 3220-0007.
(4) Exiration date of current OMB clearance: July 31, 1995.
(5) Type of request: Revision of a currently approved collection.
(6) Respondents: Individuals or households.
(7) Estimated annual number of respondents: 1,650.
(8) Total annual responses: 1,650.
(9) Total annual reporting hours: 549.
(10) Collection description: Under Section 7(b)(3) of the Railroad
Retirement Act and Section 5(c) of the Railroad unemployment Insurance
Act, a person aggrieved by a decision on his or her application for an
annuity or other benefit has the right to appeal to the RRB. The
collection provides the means for the appeal action.
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. 95-12132 Filed 5-16-95; 8:45 am]
BILLING CODE 7905-01-M
Document Information
- Published:
- 05/17/1995
- Department:
- Railroad Retirement Board
- Entry Type:
- Notice
- Document Number:
- 95-12132
- Pages:
- 26468-26468 (1 pages)
- PDF File:
-
95-12132.pdf