APPEAL UNDER THE RAILROAD RETIREMENT ACT

ICR 198112-3220-001

OMB: 3220-0007

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
157211 Migrated
ICR Details
3220-0007 198112-3220-001
Historical Active 198108-3220-006
RRB
APPEAL UNDER THE RAILROAD RETIREMENT ACT
Revision of a currently approved collection   No
Regular
Approved without change 02/19/1982
Retrieve Notice of Action (NOA) 12/24/1981
  Inventory as of this Action Requested Previously Approved
02/28/1983 02/28/1983 12/31/1981
800 0 560
267 0 280
0 0 0

UNDER SECTION 7(B)(3) OF THE RAILROAD RETIREMENT ACT, A PERSON AGGRIEVED BY DECISION ON HIS OR HER APPLICATION FOR AN ANNUITY OR OTHER BENEFIT HAS THE RIGHT TO APPEAL TO THE AGENCY. THE APPLICATION WILL PROVIDE THE MEANS FOR INITIATING THE APPEALS ACTION.

None
None


No

1
IC Title Form No. Form Name
APPEAL UNDER THE RAILROAD RETIREMENT ACT AC-1, AC-2

  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 800 560 0 -1,477 1,717 0
Annual Time Burden (Hours) 267 280 0 80 -93 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
12/24/1981


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