DESIGNATION OR CHANGE OF BENEFICIARY BY RAILROAD EMPLOYEES

ICR 197909-3220-009

OMB: 3220-0004

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3220-0004 197909-3220-009
Historical Active 197907-3220-022
RRB
DESIGNATION OR CHANGE OF BENEFICIARY BY RAILROAD EMPLOYEES
Revision of a currently approved collection   No
Regular
Approved without change 10/16/1979
Retrieve Notice of Action (NOA) 09/24/1979
  Inventory as of this Action Requested Previously Approved
09/30/1980 09/30/1980 10/31/1979
3,000 0 3,000
500 0 500
0 0 0



None
None


No

1
IC Title Form No. Form Name
DESIGNATION OR CHANGE OF BENEFICIARY BY RAILROAD EMPLOYEES AA-11A

  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 3,000 3,000 0 0 0 0
Annual Time Burden (Hours) 500 500 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.
09/24/1979


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