Application for Employee Annuity under the Railroad Retirement Act

ICR 199803-3220-001

OMB: 3220-0002

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
3220-0002 199803-3220-001
Historical Active 199412-3220-002
RRB
Application for Employee Annuity under the Railroad Retirement Act
Revision of a currently approved collection   No
Regular
Approved without change 04/23/1998
Retrieve Notice of Action (NOA) 03/05/1998
  Inventory as of this Action Requested Previously Approved
04/30/2001 04/30/2001 05/31/1998
19,225 0 22,325
11,637 0 11,624
0 0 0

The Railroad Retirement Act provides for payment of age, disability, and supplemental annuities to qualified employees. The application and related forms obtain information about the applicant's family work history, military service, disability benefits from other Government agencies, and public or private pensions. The information is used to determine entitlement to and the amount of the annuity applied for.

None
None


No

1
IC Title Form No. Form Name
Application for Employee Annuity under the Railroad Retirement Act AA-1, AA-1D, G-204

  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 19,225 22,325 0 -372,715 369,615 0
Annual Time Burden (Hours) 11,637 11,624 0 1,563 -1,550 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.
03/05/1998


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