EMPLOYEE'S CERTIFICATION

ICR 198012-3220-014

OMB: 3220-0043

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
176996 Migrated
ICR Details
3220-0043 198012-3220-014
Historical Active 197911-3220-001
RRB
EMPLOYEE'S CERTIFICATION
No material or nonsubstantive change to a currently approved collection   No
Emergency 12/26/1980
Approved with change 12/26/1980
Retrieve Notice of Action (NOA) 12/26/1980
  Inventory as of this Action Requested Previously Approved
01/31/1981 01/31/1981 12/31/1980
20,000 0 20,000
1,667 0 1,667
0 0 0

TO OBTAIN A BENEFIT AS A SPOUSE OF AN EMPLOYEE ANNUITANT UNDER THE THE RAILROAD RETIREMENT ACT THE, THE SPOUSE'S APPLICATION MUST BE SUPPORTED BY THE EMPLOYEE ANNUITANT'S CERTIFYING THAT THE LIVING WITH OR SUPPORT REQUIREMENTS ARE MET AND SUBMITTING INFORMATION OF ANY PREVIOUS MARRIAGES. THE INFORMATION WILL BE USED FOR DETERMINING WHETHER THE APPLICANT MEETS THE MARRIAGE REQUIREMENT FOR A SPOUSE ANNUITY

None
None


No

1
IC Title Form No. Form Name
EMPLOYEE'S CERTIFICATION G-346

  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 20,000 20,000 0 0 0 0
Annual Time Burden (Hours) 1,667 1,667 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.
12/26/1980


© 2024 OMB.report | Privacy Policy