EARNINGS INFORMATION REQUEST

ICR 199112-3220-001

OMB: 3220-0184

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
157822 Migrated
ICR Details
3220-0184 199112-3220-001
Historical Active
RRB
EARNINGS INFORMATION REQUEST
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/10/1992
Retrieve Notice of Action (NOA) 12/03/1991
  Inventory as of this Action Requested Previously Approved
02/28/1995 02/28/1995
1,000 0 0
133 0 0
0 0 0

UNDER SECTION 2 OF THE RAILROAD RETIREMENT ACT, AN ANNUITY IS NOT PAYABLE OR IS REDUCED FOR ANY MONTH(S) IN WHICH THE BENEFICIARY WORKS FOR A RAILROAD OR EARNS MORE THAN PRESCRIBED AMOUNTS. THE COLLECTION OBTAINS EARNINGS INFORMATION NOT PREVIOUSLY OR ERRONEOUSLY REPORTED BY A BENEFICIARY.

None
None


No

1
IC Title Form No. Form Name
EARNINGS INFORMATION REQUEST G-19-F

  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 1,000 0 0 1,000 0 0
Annual Time Burden (Hours) 133 0 0 133 0 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.
12/03/1991


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