Agency Forms Submitted for OMB Review

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: Investigation of Claim for Possible Days of

Employment or State Benefits Received.

(2) Form(s) submitted: ID-5i, ID-5R(Sup), ID-49R, and UI-48.

(3) OMB Number: 3220-0049.

(4) Expiration date of current OMB clearance: 08/31/1997.

(5) Type of request: Revision of a currently approved collection.

(6) Respondents: Individuals or households, business or other for-

profit, state, local or tribal government.

(7) Estiamted annual number of respondents: 5,900.

(8) Total annual responses: 5,900.

(9) Total annual reporting hours: 1,388.

(10) Collection description: Under the Railroad Unemployment

Insurance Act, unemployment or sickness benefits are not payable for

any day in which remuneration 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 periods as benefits are claimed.

Additional Information or Comments: Copies of the forms and

supporting documents can be obtained form 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, D.C.

20503.

Chuck Mierzwa,

Clearance Officer.

[FR Doc. 97-17432 Filed 7-2-97; 8:45 am]

BILLING CODE 7905-01-M