Agency Forms Submitted for OMB Review

[Federal Register Volume 64, Number 248 (Tuesday, December 28, 1999)]
[Notices]
[Page 72705]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-33545]


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OFFICE OF PERSONNEL MANAGEMENT
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: Evidence of Marital Relationship-Living with 
Requirements.
    (2) Form(s) submitted: G-124, G-124a, G-237, G-238, G-238a.
    (3) OMB Number: 3220-0021.
    (4) Expiration date of current OMB clearance: 3/31/2000.
    (5) Type of request: Extension of a currently approved collection.
    (6) Respondents: Individuals, State, Local, or Tribal government.
    (7) Estimated annual number of respondents: 1,100.
    (8) Total annual responses: 1,100.
    (9) Total annual reporting hours: 196.
    (10) Collection description: Under the R RA, to obtain a benefit as 
a spouse of an employee annuitant or as the widow(er) of the deceased 
employee, applicants must submit information to be used in determining 
if they meet the marriage requirements for such benefits. The 
collection obtains information supporting claimed common-law-marriage, 
termination of previous marriages and residency requirements.

ADDITIONAL INFORMATION OR COMMENTS: Copies of the forms 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, 
Lori Schack (202-395-7316), Office of Management and Budget, Room 
10230, New Executive Office Building, Washington, DC 20503.
Chuck Mierzwa,
Clearance Officer.
[FR Doc. 99-33545 Filed 12-27-99; 8:45 am]
BILLING CODE 7905-01-M