96-10982. Agency Forms Submitted for OMB Review

[Federal Register Volume 61, Number 87 (Friday, May 3, 1996)]
[Notices]
[Pages 19964-19965]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-10982]



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[[Page 19965]]

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: Financial Disclosure Statement.
    (2) Form(s) submitted: G-423.
    (3) OMB Number: 3220-0127.
    (4) Expiration date of current OMB clearance: June 30, 1996.
    (5) Type of request: Revision of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 2,100.
    (8) Total annual responses: 2,100.
    (9) Total annual reporting hours: 2,975.
    (10) Collection description: Under the Railroad Retirement and the 
Railroad Unemployment Insurance Acts, the Railroad Retirement Board has 
authority to secure from an overpaid beneficiary a statement of the 
individual's assets and liabilities if waiver of the overpayment is 
requested.

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. 96-10982 Filed 5-2-96; 8:45 am]
BILLING CODE 7905-01-M