Application for Search of Census Records (Railroad Retirement Purposes Only)

ICR 199505-3220-002

OMB: 3220-0106

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
3220-0106 199505-3220-002
Historical Active 199205-3220-003
RRB
Application for Search of Census Records (Railroad Retirement Purposes Only)
Revision of a currently approved collection   No
Regular
Approved without change 07/12/1995
Retrieve Notice of Action (NOA) 05/11/1995
  Inventory as of this Action Requested Previously Approved
07/31/1998 07/31/1998 07/31/1995
150 0 0
25 0 33
0 0 0

Under the Railroad Retirement Act, an application for benefits based on age must be supported by proof of the age claimed. The application obtains proof of an applicant's age from the Bureau of the Census when other evidence is unavailable.

None
None


No

1
IC Title Form No. Form Name
Application for Search of Census Records (Railroad Retirement Purposes Only) G-256

  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 150 0 0 0 150 0
Annual Time Burden (Hours) 25 33 0 0 -8 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.
05/11/1995


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