Information Collection

Referral Card - Report On Placement Or Refusal Of Referral Or Offer To Railroad Retirement Board

IC 176919 under ICR 198004-3220-014 · OMB 3220-0027.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0027 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	REFERRAL CARD - REPORT ON PLACEMENT OR REFUSAL OF REFERRAL OR OFFER TO RAILROAD RETIREMENT BOARD	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	ES-21 &	No	No
Form	ES-21C	No	No
Form	ES-21,	No	No
Form	ES-21C	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 21,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	26,000	26,000
Annual IC Time Burden (Hours)	883	883
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.