Agency Forms Submitted for OMB Review

[Federal Register Volume 63, Number 224 (Friday, November 20, 1998)]
[Notices]
[Page 64532]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-31084]


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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: Supplemental Information on Accident and 
Insurance.
    (2) Form(s) submitted: SI-1c, SI-5, ID-3s, ID-3s-1, ID-3u, ID-30k, 
ID-30k-1.
    (3) OMB Number: 3220-0036.
    (4) Expiration date of current OMB clearance: 12/31/1998.
    (5) Type of request: Revision of a currently approved collection.
    (6) Respondents: Individuals or households, business or other for 
profit.
    (7) Estimated annual number of respondents: 30,700.
    (8) Total annual responses: 30,700.
    (9) Total annual reporting hours: 1,875.
    (10) Collection description: The Railroad Unemployment Insurance 
Act provides for the recovery of sickness benefits paid if an employee 
receives a settlement for the same injury for which benefits were paid. 
The collection obtains information about the person or company 
responsible for such payments that is needed to determine the amount of 
the RRB's entitlement.

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, DC 20503.
Chuck Mierzwa,
Clearance Officer.
[FR Doc. 98-31084 Filed 11-19-98; 8:45 am]
BILLING CODE 7905-01-M