Request to Non-Railroad Employer for Information About Annuitants Work and Earnings

ICR 200511-3220-005

OMB: 3220-0107

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
3220-0107 200511-3220-005
Historical Active 200212-3220-001
RRB
Request to Non-Railroad Employer for Information About Annuitants Work and Earnings
Extension without change of a currently approved collection   No
Regular
Approved without change 01/11/2006
Retrieve Notice of Action (NOA) 11/29/2005
  Inventory as of this Action Requested Previously Approved
01/31/2009 01/31/2009 02/28/2006
300 0 300
150 0 150
0 0 0

Under the Railroad Retirement Act (RRA), benefits are not payable if an ammunitant works for am employer covered under the RRA or last non-railroad employer. The collection obtains information regarding an annuitant's work and earnings from a non-railroad employer. The informatin will be used for determining whether benefits should be withheld.

None
None


No

1
IC Title Form No. Form Name
Request to Non-Railroad Employer for Information About Annuitants Work and Earnings RL-231-F

  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 300 300 0 0 0 0
Annual Time Burden (Hours) 150 150 0 0 0 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.
11/29/2005


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