WORK AND EARNINGS MAY AFFECT YOUR RAILROAD RETIREMENT ANNUITY

ICR 197607-3220-003

OMB: 3220-0109

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3220-0109 197607-3220-003
Historical Active 197603-3220-001
RRB
WORK AND EARNINGS MAY AFFECT YOUR RAILROAD RETIREMENT ANNUITY
No material or nonsubstantive change to a currently approved collection   No
Emergency 07/16/1976
Approved with change 07/16/1976
Retrieve Notice of Action (NOA) 07/16/1976
  Inventory as of this Action Requested Previously Approved
04/30/1981 04/30/1981 03/31/1981
3,600 0 3,600
120 0 120
0 0 0

UNDER THE RAILROAD RETIREMENT ACT, BENEFITS PAID TO ANNUITANTS WHO ARE UNDER AGE 72 CAN BE REDUCED BECAUSE OF EARNINGS FROM EMPLOYMENT OR SELF0EMPLOYMENT. THE EARNINGS REPORT WILL OBTAIN INFORMATION NEEDED FOR IMPOSING OF THE WORK DEDUCTIONS.

None
None


No

1
IC Title Form No. Form Name
WORK AND EARNINGS MAY AFFECT YOUR RAILROAD RETIREMENT ANNUITY G-103

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 3,600 3,600 0 0 0 0
Annual Time Burden (Hours) 120 120 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/16/1976


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