STATEMENT REGARDING ADOPTION

ICR 198506-3220-003

OMB: 3220-0040

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
157403 Migrated
ICR Details
3220-0040 198506-3220-003
Historical Active 198207-3220-002
RRB
STATEMENT REGARDING ADOPTION
Extension without change of a currently approved collection   No
Regular
Approved without change 07/12/1985
Retrieve Notice of Action (NOA) 06/24/1985
  Inventory as of this Action Requested Previously Approved
06/30/1988 06/30/1988 06/30/1985
600 0 600
150 0 150
0 0 0

EQUITABLY ADOPTED CHILDREN OF RAILROAD WORKERS MAY QUALIFY FOR BENEFIT UNDER THE RR ACT. THE COLLECTION OBTAINS THE INFORMATION NEEDED TO ESTABLISH EQUITABLE ADOPTION WHEN NO LEGAL ADOPTION HAS OCCURRED.

None
None


No

1
IC Title Form No. Form Name
STATEMENT REGARDING ADOPTION G-118

  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 600 600 0 0 0 0
Annual Time Burden (Hours) 150 150 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.
06/24/1985


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