Information Collection

Pilot Study -- Medical Assessment Reports For Disability Claimants Under The Railroad Retirement Act

IC 157819 under ICR 199105-3220-002 · OMB 3220-0182.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

PILOT STUDY -- MEDICAL ASSESSMENT REPORTS FOR DISABILITY CLAIMANTS UNDER THE RAILROAD RETIREMENT ACT

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	T-6	No	No
Form	T-250A	No	No
Form	T-250	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,000	2,000
Annual IC Time Burden (Hours)	1,141	1,141
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.