CERTIFICATION IN SUPPORT OF EMPLOYER SERVICE

ICR 198003-3220-003

OMB: 3220-0015

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
157264 Migrated
ICR Details
3220-0015 198003-3220-003
Historical Active 197908-3220-007
RRB
CERTIFICATION IN SUPPORT OF EMPLOYER SERVICE
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 04/02/1980
Retrieve Notice of Action (NOA) 03/17/1980
  Inventory as of this Action Requested Previously Approved
03/31/1981 03/31/1981
250 0 0
83 0 0
0 0 0

RAILROAD SERVICE PRIOR TO 1937 CAN BE USED UNDER CERTAIN CONDITIONS FOR ENTITLEMENT TO AND AMOUNT OF ANNUITY PROVIDED FOR UNDER SECTION 2 OF THE RAILROAD RETIREMENT ACT. THE CERTIFICATION WILL OBTAIN INFORMATION TO SUPPORT THE APPLICANT'S CLAIMED SERVICE PRIOR TO 1937WHEN THE EMPLOYER'S RECORDS ARE NOT AVAILABLE.

None
None


No

1
IC Title Form No. Form Name
CERTIFICATION IN SUPPORT OF EMPLOYER SERVICE G-86

  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 250 0 0 0 250 0
Annual Time Burden (Hours) 83 0 0 0 83 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.
03/17/1980


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