Agency Forms Submitted for OMB Review

[Federal Register Volume 64, Number 77 (Thursday, April 22, 1999)]
[Notices]
[Page 19833]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-10108]


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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: Statement Regarding Contributions and 
Support.
    (2) Form(s) submitted: G-134.
    (3) OMB Number: 3220-0099.
    (4) Expiration date of current OMB clearance: 6/30/1999.
    (5) Type of request: Revision of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 100.
    (8) Total annual responses: 100.
    (9) Total annual reporting hours: 129.
    (10) Collection description: Dependency on the employee for one-
half support at the time of the employee's death can be a condition 
affecting eligibility for a survivor annuity provided for under section 
2 of the Railroad Retirement Act. One-half support is also a condition 
which may negate the public service pension offset in Tier I for a 
spouse or widow(er).

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. 99-10108 Filed 4-21-99; 8:45 am]
BILLING CODE 7905-01-M