EMPLOYEE REPRESENTATIVE'S STATUS REPORT

ICR 198012-3220-017

OMB: 3220-0014

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
176881 Migrated
ICR Details
3220-0014 198012-3220-017
Historical Active 198009-3220-004
RRB
EMPLOYEE REPRESENTATIVE'S STATUS REPORT
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
100 0 100
25 0 25
0 0 0

TO ADMINISTER THE RAILROAD RETIREMENT ACT, THE BOARD MAINTAINS RECORDS OF SERVICE AND COMPENSATION OF EMPLOYEE REPRESENTATIVES WHO HAVE WORKED IN THE INDUSTRY SINCE 1936. THE EMPLOYEE REPRESENTATIVE'S STATUS REPORT, PRESCRIBED IN 20 250.6, WILL OBTAIN INFORMATION ON THE APPLICANT'S STATUS AS A EMPLOYEE REPRESENTIVE. THE INFORMATION OBTAINED WILL BE USED FOR DETERMINING IF THE REQUIREMENTS FOR AN A EMPLOYEE REPRESENTATIVE ARE MET AND FOR ESTABLISHLING A SERVICE AN

None
None


No

1
IC Title Form No. Form Name
EMPLOYEE REPRESENTATIVE'S STATUS REPORT DC-2A

  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 100 100 0 0 0 0
Annual Time Burden (Hours) 25 25 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


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