97-15031. Agency Forms Submitted for OMB Review

[Federal Register Volume 62, Number 111 (Tuesday, June 10, 1997)]
[Notices]
[Page 31638]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-15031]


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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: Statements of Claimed Railroad Service and 
Earnings.
    (2) Form(s) submitted: UI-9, UI-23, UI-44, ID-4F, ID-4U, ID-4X, ID-
4Y, ID-20-1, ID-20-2, and ID-20-4.
    (3) OMB Number: 3220-0025.
    (4) Expiration date of current OMB clearance: 7/31/1997.
    (5) Type of request: Revision of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 2,005.
    (8) Total annual responses: 2,005.
    (9) Total annual reporting hours: 234.
    (10) Collection description: When RRB records indicate that 
railroad service and/or compensation is insufficient to qualify a 
claimant for unemployment or sickness benefits, the statements obtain 
information needed to reconcile the compensation and/or service on 
record with that claimed by the employee.

ADDITIONAL INFORMATION OR COMMENTS: Copies of the forms 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. 97-15031 Filed 6-9-97; 8:45 am]
BILLING CODE 7905-01-M