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: Claim for Credit for Military Service

(2) Form(s) submitted: UI-44

(3) OMB Number: 3220-0072

(4) Expiration date of current OMB clearance: August 31, 1995

(5) Type of request: Extension of a currently approved collection

(6) Respondents: Individuals or households

(7) Estimated annual number of respondents: 300

(8) Total annual responses: 300

(9) Total annual reporting hours: 25

(10) Collection description: Under Section 2(c) of the Railroad

Unemployment Act, military service can be used under certain conditions

for entitlement to an extended or accelerated unemployment benefit

period. The form will be used to obtain information about the

applicant's claimed military service.

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. 95-14957 Filed 6-19-95; 8:45 am]

BILLING CODE 7905-01-M