Nonresident Questionnaire

ICR 200004-3220-003

OMB: 3220-0145

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
33943 Migrated
ICR Details
3220-0145 200004-3220-003
Historical Active 199702-3220-002
RRB
Nonresident Questionnaire
Revision of a currently approved collection   No
Regular
Approved without change 06/09/2000
Retrieve Notice of Action (NOA) 04/24/2000
This request is approved provided the agency, upon next submission, include justification for form TL-26 and clarify the frequency of reporting requirements in the supporting statement.
  Inventory as of this Action Requested Previously Approved
06/30/2003 06/30/2003 06/30/2000
1,500 0 1,700
750 0 108
0 0 0

Under the Railroad Retirement Act, the benefits payable to an annuitant living outside the United States may be subject to withholding under Public Laws 98-21 and 98-76. The form obtains the information needed to determine the amount to be withheld.

None
None


No

1
IC Title Form No. Form Name
Nonresident Questionnaire RRB-1001

  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 1,500 1,700 0 0 -200 0
Annual Time Burden (Hours) 750 108 0 0 642 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.
04/24/2000


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