Federal Register: November 4, 2005 (Volume 70, Number 213)
DOCID: FR Doc 05-21979
RAILROAD RETIREMENT BOARD
Railroad Retirement Board
NOTICE: NOTICES
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) Expiration date of current OMB clearance: 12/31/2005.
(5) Type of request: Revision of a currently approved collection. (6) Respondents: Individuals or households.
(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.
Additional Information or Comments: Copies of the forms and supporting documents can be obtained from Charles Mierzwa, the agency clearance officer (3127513363) or Charles.Mierzwa@rrb.gov.
Comments regarding the information collection should be addressed
to Ronald J. Hodapp, Railroad Retirement Board, 844 North Rush Street,
Chicago, Illinois, 606112092 or Ronald.Hodapp@rrb.gov 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. Charles Mierzwa,
Clearance Officer.
[FR Doc. 0521979 Filed 11305; 8:45 am]
BILLING CODE 790501P
SUMMARY:
Agency information collection activities; proposals, submissions, and approvals,