95-14957. Agency Forms Submitted for OMB Review  

  • [Federal Register Volume 60, Number 118 (Tuesday, June 20, 1995)]
    [Notices]
    [Page 32185]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 95-14957]
    
    
    
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    RAILROAD RETIREMENT BOARD
    
    
    Agency Forms Submitted for OMB Review
    
    SUMMARY: In accordance with the Paperwork Reduction Act of 1980 (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: Claim for Credit for Military Service
    (2) Form(s) submitted: UI-44
    (3) OMB Number: 3220-0072
    (4) Expiration date of current OMB clearance: August 31, 1995
    (5) Type of request: Extension of a currently approved collection
    (6) Respondents: Individuals or households
    (7) Estimated annual number of respondents: 300
    (8) Total annual responses: 300
    (9) Total annual reporting hours: 25
    (10) Collection description: Under Section 2(c) of the Railroad 
    Unemployment Act, military service can be used under certain conditions 
    for entitlement to an extended or accelerated unemployment benefit 
    period. The form will be used to obtain information about the 
    applicant's claimed military service.
    
    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, DC 20503.
    Chuck Mierzwa,
    Clearance Officer.
    [FR Doc. 95-14957 Filed 6-19-95; 8:45 am]
    BILLING CODE 7905-01-M
    
    

Document Information

Published:
06/20/1995
Department:
Railroad Retirement Board
Entry Type:
Notice
Document Number:
95-14957
Pages:
32185-32185 (1 pages)
PDF File:
95-14957.pdf