Federal Register: February 14, 2003 (Volume 68, Number 31)
DOCID: FR Doc 03-3641
RAILROAD RETIREMENT BOARD
Railroad Retirement Board
NOTICE: NOTICES
ACTION: Agency information collection activities:
SUBJECT CATEGORY:
Agency Forms Submitted for OMB Review
DOCUMENT SUMMARY:
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: Application for Survivor Death Benefits.
(2) Form(s) submitted: AA21, AA21cert, G273a, AA11a, and G131. (3) OMB Number: 32200031.
(4) Expiration date of current OMB clearance: 04/30/2003.
(5) Type of request: Extension of a currently approved collection.
(6) Respondents: Individuals or households, Business or other for profit.
(7) Estimated annual number of respondents: 20,600.
(8) Total annual responses: 20,600.
(9) Total annual reporting hours: 5,150.
(10) Collection description: The collection obtains the information
needed to pay death benefits and annuities due but unpaid at death
under the Railroad Retirement Act. Benefits are paid to designated
beneficiaries or to survivors in a priority designated by law.
Additional Information or Comments: 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. 033641 Filed 21303; 8:45 am]
BILLING CODE 790501M
SUMMARY:
Submission for OMB review; comment request,
DOCUMENT BODY 2:
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: Application for Survivor Death Benefits.
(2) Form(s) submitted: AA21, AA21cert, G273a, AA11a, and G131. (3) OMB Number: 32200031.
(4) Expiration date of current OMB clearance: 04/30/2003.
(5) Type of request: Extension of a currently approved collection.
(6) Respondents: Individuals or households, Business or other for profit.
(7) Estimated annual number of respondents: 20,600.
(8) Total annual responses: 20,600.
(9) Total annual reporting hours: 5,150.
(10) Collection description: The collection obtains the information
needed to pay death benefits and annuities due but unpaid at death
under the Railroad Retirement Act. Benefits are paid to designated
beneficiaries or to survivors in a priority designated by law.
Additional Information or Comments: 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. 033641 Filed 21303; 8:45 am]
BILLING CODE 790501M