96-12897. Agency Forms Submitted for OMB Review

[Federal Register Volume 61, Number 101 (Thursday, May 23, 1996)]
[Notices]
[Page 25929]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-12897]



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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: Employee Noncovered Service Pension 
Questionnaire.
    (2) Form(s) submitted: G-209.
    (3) OMB Number: 3220-0154.
    (4) Expiration date of current OMB clearance: July 31, 1996.
    (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 I 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.

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. 96-12897 Filed 5-22-96; 8:45 am]
BILLING CODE 7905-01-M