CERTIFICATE OF RESPONSIBILITY OF MINOR APPLICANT

ICR 198102-3220-027

OMB: 3220-0023

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
157306 Migrated
ICR Details
3220-0023 198102-3220-027
Historical Active 198012-3220-015
RRB
CERTIFICATE OF RESPONSIBILITY OF MINOR APPLICANT
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 02/19/1981
Retrieve Notice of Action (NOA) 02/19/1981
  Inventory as of this Action Requested Previously Approved
03/31/1981 03/31/1981
800 0 0
133 0 0
0 0 0

UNDET SECTION 12 OF THE RAILROAD RETIREMENT ACT, A MINOR, AGE 16 TO 18 YEARS ENTITLED TO BENEFITS UNDER THE ACT, MAY HAVE BENEFITS PAID DIRECTLY, IN LIEU OF PAYMENT ON HIS OR HER BEHALF, TO A LEGAL GUARDIAN OR REPRESENTATIVE PAYEE. THE CERTIFICATE WILL OBTAIN, FROM THE MINOR, INFORMATION ON SCHOOLING, WORK AND USE TO BE MADE OF THE BENEFITS. THE INFORMATION WILL BE USED TO DETERMINE IF THE BENEFITS SHOULD BE PAID DIRECTLY TO THE MINOR

None
None


No

1
IC Title Form No. Form Name
CERTIFICATE OF RESPONSIBILITY OF MINOR APPLICANT G-468

  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 800 0 0 0 800 0
Annual Time Burden (Hours) 133 0 0 0 133 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.
02/19/1981


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