99-12497. Agency Forms Submitted for OMB Review

[Federal Register Volume 64, Number 95 (Tuesday, May 18, 1999)]
[Notices]
[Page 27015]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-12497]


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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: Employee Noncovered Service Pension 
Questionnaire.
    (2) Form(s) submitted: G-209.
    (3) OMB Number: 3220-0154.
    (4) Expiration date of current OMB clearance: 7/31/1999.
    (5) Type of request: Extension of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 500.
    (8) Total annual responses: 500.
    (9) total annual reporting hours: 55.
    (10) Collection description: Under Section 3 of the Railroad 
Retirement Act, the Tier 1 portion of an employee annuity may be 
subjected to a reduction for benefits received based on work not 
covered under the Social Security Act or Railroad Retirement Act. The 
questionnaire obtains the information needed to determine if the 
reduction applies and the amount of such reduction.

FOR FURTHER INFORMATION CONTACT: 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, 
Laurie Schack (202-395-7316), Office of Management and Budget, Room 
10230, New Executive Office Building, Washington, DC 20503.
Chuck Mierzwa,
Clearance Officer.
[FR Doc. 99-12497 Filed 5-17-99; 8:45 am]
BILLING CODE 7905-01-M