Federal Register: December 2, 2002 (Volume 67, Number 231)
DOCID: FR Doc 02-30432
RAILROAD RETIREMENT BOARD
Railroad Retirement Board
NOTICE: NOTICES
ACTION: Agency information collection activities:
SUBJECT CATEGORY:
Agency Forms Submitted for OMB Review
DOCUMENT 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: Medicare.
(2) Form(s) submitted: AA6, AA7, AA8, RL311F.
(3) OMB Number: 32200082.
(4) Expriation date of current OMB clearance: 9/30/2003.
(5) Type of request: Revision of a currently approved collection.
(6) Respondents: Individuals or Households, Business or otherfor profit.
(7) Estimated annual number of respondents: 1,040.
(8) Total annual responses: 1,040.
(9) Total annual reporting hours: 165.
(10) Collection description: The Railroad Retirement Board
administers the Medicare program for persons covered by the railroad
retirement system. The forms in the collection obtain information
needed to enroll nonretired employees and survivor applicants in the
plan and also obtain information from railroad employers needed to
determine if a railroad retirement beneficiary is entitled to a special
enrollment period when applying for supplemental medical coverage under
Medicare.
SUMMARY:
Submission for OMB review; comment request,
FOR FURTHER INFORMATION CONTACT
Copies of the forms and supporting
documents can be obtained from Chuck Mierzwa, the agency clearance
officer (3127513363). Comments regarding the information collection
should be addressed to Ronald J. Hodapp, Railroad Retirement Board, 844
North Rush Street, Chicago, Illinois 606112092 and to the OMB Desk
Officer for the RRB, at the Office of Management and Budget, Room
10230, New Executive Office Building, Washington, DC 20503. Chuck Mierzwa,
Clearance Officer.
[FR Doc. 0230432 Filed 112902; 8:45 am]
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