95-15606. Agency Forms Submitted for OMB Review

[Federal Register Volume 60, Number 123 (Tuesday, June 27, 1995)]
[Notices]
[Pages 33245-33246]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-15606]



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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: Release of Canadian Tax Information.
    (2) Form(s) submitted: G-261.
    (3) OMB Number: N/A.
    (4) Expiration date of current OMB clearance: N/A.
    (5) Type of request: New Collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 50.
    (8) Total annual responses: 50.
    (9) Total annual reporting hours: 4.
    (10) Collection description: The proposed information collection 
will request Canadian taxpayers who are [[Page 33246]] either RRB 
disability annuitants or recent unemployment and sickness claimants to 
consent to the release of their individual tax records from Revenue 
Canada to the RRB. The information will be used by the RRB to monitor 
their eligibility for benefits.
    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. 95-15606 Filed 6-26-95; 8:45 am]
BILLING CODE 7905-01-M