EMPLOYEE ANNUITANT'S STATEMENT REGARDING FAMILY AND EARNINGS

ICR 197708-3220-003

OMB: 3220-0068

Federal Form Document

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ICR Details
3220-0068 197708-3220-003
Historical Active
RRB
EMPLOYEE ANNUITANT'S STATEMENT REGARDING FAMILY AND EARNINGS
Revision of a currently approved collection   No
Regular
Approved without change 08/11/1977
Retrieve Notice of Action (NOA) 08/08/1977
  Inventory as of this Action Requested Previously Approved
10/31/1981 10/31/1981
2,000 0 0
800 0 0
0 0 0

THE RAILROAD RETIREMENT ACT GUARANTEES THAT BENEFITS PAYABLE TO A RAILROAD EMPLOYEE AND HIS FAMILY WILL BE NO LESS THAN WOULD BE PAYABLE IF THE EMPLOYEE'S RAILROAD EARNINGS WERE CREDITED UNDER THE SOCIAL SECURITY ACT. THE EMPLOYEE ANNUITANT'S STATEMENT WILL OBTAIN INFORMATION NEEDED FOR DETERMINING AMOUNT OF BENEFITS PAYABLE UNDER THE GUARANTY PROVISION.

None
None


No

1
IC Title Form No. Form Name
EMPLOYEE ANNUITANT'S STATEMENT REGARDING FAMILY AND EARNINGS G-319

  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 2,000 0 0 0 2,000 0
Annual Time Burden (Hours) 800 0 0 0 800 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.
08/08/1977


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