99-22548. Agency Forms Submitted for OMB Review

[Federal Register Volume 64, Number 168 (Tuesday, August 31, 1999)]
[Notices]
[Page 47541]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-22548]


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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: Medical Reports.
    (2) Form(s) submitted: G-3EMP, G-250, G-250a, G-260, RL-11b, RL-
11d.
    (3) OMB Number: 3220-0038.
    (4) Expiration date of current OMB clearance: 12/31/1999.
    (5) Type of request: Revision of a currently approved collection.
    (6) Respondents: Business or other-for-profit, non-profit 
institutions, state, local or tribal government.
    (7) Estimated annual number of respondents: 29,950.
    (8) Total annual responses: 29,950.
    (9) Total annual reporting hours: 12,417.
    (10) Collection description: The Railroad Retirement Act provides 
disability annuities for qualified railroad employees whose physical or 
mental condition renders them incapable of working in their regular 
(occupational disability) or any occupation (total disability). The 
medical reports obtain information needed for determining the nature 
and severity of the impairment.

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, Laurie Schack (202-395-
7316), Office of Management and Budget, Room 10230, New Executive 
Office Building, Washington, DC 20503.
Chuck Mierzwa,
Clearance Officer.
[FR Doc. 99-22548 Filed 8-30-99; 8:45 am]
BILLING CODE 7905-01-M