LAG SERVICE REPORTS

ICR 199409-3220-002

OMB: 3220-0005

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
157205 Migrated
ICR Details
3220-0005 199409-3220-002
Historical Active 199105-3220-003
RRB
LAG SERVICE REPORTS
Revision of a currently approved collection   No
Regular
Approved without change 12/01/1994
Retrieve Notice of Action (NOA) 09/30/1994
  Inventory as of this Action Requested Previously Approved
12/31/1997 12/31/1997 11/30/1994
1,200 0 3,900
120 0 412
0 0 0

THE REPORTS OBTAIN THE CURRENT SERVICE AND COMPENSATION OF AN EMPLOYEE NOT YET REPORTED TO THE BOARD. THIS LAG INFORMATION IS USED TO DETERMINE ENTITLEMENT TO AND AMOUNT OF ANNUITY APPLIED FOR AND TO PAY BENEFITS DUE ON A DECEASED EMPLOYEE'S EARNINGS RECORDS.

None
None


No

1
IC Title Form No. Form Name
LAG SERVICE REPORTS AA-12, G-88A

  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 1,200 3,900 0 0 -2,700 0
Annual Time Burden (Hours) 120 412 0 0 -292 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.
09/30/1994


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