[Federal Register Volume 61, Number 111 (Friday, June 7, 1996)]
[Notices]
[Pages 29144-29145]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-14341]
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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: Application for Survivor Insurance Annuities.
(2) Form(s) submitted: AA-17, AA-17b, AA-18, AA-19, AA-19a, and AA-
20.
(3) OMB Number: 3220-0030.
(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: 5,765.
(8) Total annual responses: 5,765.
(9) Total annual reporting hours: 2,864.
(10) Collection description: Under Section 2(d) of the RRA, monthly
survivor annuities are payable to surviving widow(er)s, parents,
unmarried children, and in certain cases, divorced wives (husbands),
mother (fathers), remarried widow(er)s and grandchildren or deceased
railroad employees. The collection obtains information needed by the
Railroad
[[Page 29145]]
Retirement Board for determining entitlement to and amount of the
annuity applied for.
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. 96-14341 Filed 6-6-96; 8:45 am]
BILLING CODE 7905-01-M
