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Agency Forms Submitted for OMB Review

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Information about this document as published in the Federal Register.

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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: Job Information Report.

(2) Form(s) submitted: G-251a, G-251b.

(3) OMB Number: 3220-0193.

(4) Expiration date of current OMB clearance: 11/30/2003.

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

(6) Respondents: Business or other for-profit.

(7) Estimated annual number of respondents: 430.

(8) Total annual responses: 430.

(9) Total annual reporting hours: 144.

(10) Collection description: The collection obtains information used by the Railroad Retirement Board (RRB) to assist in determining whether a railroad employee is disabled from his or her regular occupation. It provides, under certain conditions, railroad employers with the opportunity to provide information to the RRB regarding the employee applicant's job duties.

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 to the OMB Desk Officer for the RRB, at the Office of Management and Budget, Room 10230, New Executive Office Building, Washington, DC 20503.

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Chuck Mierzwa,

Clearance Officer.

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[FR Doc. 03-24958 Filed 10-1-03; 8:45 am]

BILLING CODE 7905-01-M