EMPLOYER'S DEEMED SERVICE MONTH QUESTIONNAIRE

ICR 198906-3220-004

OMB: 3220-0156

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
177176 Migrated
ICR Details
3220-0156 198906-3220-004
Historical Active 198904-3220-005
RRB
EMPLOYER'S DEEMED SERVICE MONTH QUESTIONNAIRE
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/13/1989
Approved with change 06/13/1989
Retrieve Notice of Action (NOA) 06/13/1989
  Inventory as of this Action Requested Previously Approved
04/30/1990 04/30/1990 04/30/1990
8,000 0 8,000
400 0 400
0 0 0

UNDER SECTION 3(I) OF THE RAILROAD RETIREMENT ACT (RRA) THE BOARD MAY DEEM ADDITIONAL MONTHS OF SERVICE IN SOME CASES WHERE AN EMPLOYEE DOES NOT ACTUALLY WORK IN EVERY MONTH OF THE YEAR. THE COLLECTION OBTAINS NEEDED SERVICE AND COMPENSATION INFORMATION FROM RAILROAD EMPLOYERS FOR DETERMINING IF AN EMPLOYEE MAY BE CREDITED WITH ADDITION

None
None


No

1
IC Title Form No. Form Name
EMPLOYER'S DEEMED SERVICE MONTH QUESTIONNAIRE GL-99

  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 8,000 8,000 0 0 0 0
Annual Time Burden (Hours) 400 400 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.
06/13/1989


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