Job Information Report

ICR 200010-3220-001

OMB: 3220-0193

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
34009 Migrated
ICR Details
3220-0193 200010-3220-001
Historical Active 199709-3220-001
RRB
Job Information Report
Revision of a currently approved collection   No
Regular
Approved without change 11/20/2000
Retrieve Notice of Action (NOA) 10/10/2000
  Inventory as of this Action Requested Previously Approved
11/30/2003 11/30/2003 12/31/2000
430 0 1,750
144 0 584
0 0 0

The collection obtains information used by the Railroad Reitrement Board (RRB) to assist in determining whether a railroad employee is disabled from his or her regular occupation. It provides, under certain conditions, railroad employers with the opportunity to provide information to the RRB regarding the employee applicant's job duties.

None
None


No

1
IC Title Form No. Form Name
Job Information Report G-251A, G-251B

  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 430 1,750 0 0 -1,320 0
Annual Time Burden (Hours) 144 584 0 0 -440 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.
10/10/2000


© 2024 OMB.report | Privacy Policy