Agency Forms Submitted for OMB Review

RAILROAD RETIREMENT BOARD

Agency Forms Submitted for OMB Review

SUMMARY: In accordance with the Paperwork Reduction Act of 1980 (44

U.S.C. chapter 35), the Railroad Retirement Board 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: Investigation of Claim for Possible Days of

Employment or State Benefits Received.

(2) Form(s) submitted: ID-5I, ID-5R (SUP), ID-49R, ID-49S and UI-

48.

(3) OMB Number: 3220-0049.

(4) Expiration date of current OMB clearance: Three years from date

of OMB approval.

(5) Type of request: Extension of the expiration date of a

currently approved collection without any change in the substance or in

the method of collection.

(6) Frequency of response: On occasion.

(7) Respondents: Individuals or households, State or local

governments, Businesses or other for-profit, Small businesses or

organizations.

(8) Estimated annual number of respondents: 10,500.

(9) Total annual responses: 10,600.

(10) Average time per response: .13254 hours.

(11) Total annual reporting hours: 1,405.

(12) Collection description: Under the RUIA, unemployment or

sickness benefits are not payable for any day in which renumeration is

payable or accrues to the claimant. The collection obtains information

from the claimant, railroad and non-railroad employers and state

agencies about work performed and/or benefits received during the same

period as benefits are claimed.

Additional Information or Comments

Copies of the form and supporting documents can be obtained from

Dennis Eagan, the agency clearance officer (312-751-4693). 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 3002, New Executive Office

Building, Washington, DC 20503.

Dennis Eagan,

Clearance Officer.

[FR Doc. 94-11574 Filed 5-11-94; 8:45 am]

BILLING CODE 7905-01-M