[Federal Register Volume 70, Number 19 (Monday, January 31, 2005)]
[Notices]
[Page 4892]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-1671]


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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: Financial Disclosure Statement.
    (2) Form(s) submitted: DR-423.
    (3) OMB Number: 3220-0127.
    (4) Expiration date of current OMB clearance: 05/31/2005.
    (5) Type of request: Revision of a currently approved collection.
    (6) Respondents: Individuals or households.
    (7) Estimated annual number of respondents: 1,200.
    (8) Total annual responses: 1,200.
    (9) Total annual reporting hours: 1,700.
    (10) Collection description: Under the Railroad Retirement and the 
Railroad Unemployment Insurance Acts, the Railroad Retirement Board has 
authority to secure from an overpaid beneficiary a statement of the 
individual's assets and liabilities if waiver of the overpayment is 
requested.

FOR FURTHER INFORMATION CONTACT: Copies of the forms and supporting 
documents can be obtained from Charles Mierzwa, the agency clearance 
officer (312-751-3363) or [email protected].
    Comments regarding the information collection should be addressed 
to Ronald J. Hodapp, Railroad Retirement Board, 844 North Rush Street, 
Chicago, Illinois, 60611-2092 or [email protected] 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. 05-1671 Filed 1-28-05; 8:45 am]
BILLING CODE 7905-01-P