96-15030. Agency Forms Submitted for OMB Review

[Federal Register Volume 61, Number 115 (Thursday, June 13, 1996)]
[Notices]
[Page 30104]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-15030]



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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: Annual Earnings Questionnaire for Annuitants 
in Last Pre-Retirement Non-Railroad Employment.
    (2) Form(s) submitted: G-19L.
    (3) OMB Number: 3220-0179.
    (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: 6,000.
    (8) Total annual responses: 6,000.
    (9) Total annual reporting hours: 3,000.
    (10) Collection description: Under Section 2(e)(3) of the Railroad 
Retirement Act, an annuity is not payable or is reduced for any month 
in which the beneficiary works for a railroad or earns more than the 
prescribed amounts. The collection obtains earnings information needed 
by the Railroad Retirement Board to determine possible reductions in 
annuities because of LPE earnings.
    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. 96-15030 Filed 6-12-96; 8:45 am]
BILLING CODE 7905-01-M