LETTER AND QUESTIONNAIRE REGARDING SURVIVOR OF DECEASED RAILROAD EMPLOYEE

ICR 197811-3220-005

OMB: 3220-0032

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
3220-0032 197811-3220-005
Historical Active
RRB
LETTER AND QUESTIONNAIRE REGARDING SURVIVOR OF DECEASED RAILROAD EMPLOYEE
Extension without change of a currently approved collection   No
Regular
Approved without change 12/29/1978
Retrieve Notice of Action (NOA) 11/08/1978
  Inventory as of this Action Requested Previously Approved
02/28/1979 02/28/1979
24,000 0 0
8,000 0 0
0 0 0



None
None


No

1
IC Title Form No. Form Name
LETTER AND QUESTIONNAIRE REGARDING SURVIVOR OF DECEASED RAILROAD EMPLOYEE RL-94-F

  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 24,000 0 0 0 24,000 0
Annual Time Burden (Hours) 8,000 0 0 0 8,000 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.
11/08/1978


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