Notice of Retirement and Request for Service Needed for Eligibility

Employer Reporting

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0005 can be found here:

Documents and Forms

Document Name Document Type
Form G-88A.2 (04-05) Notice of Retirement and Request for Service Needed for Eligibility Form
G-88A.2 (04-05) Notice of Retirement and Request for Service Needed for Form G-88A.2 Current.pdf www.rrb.gov/pdf/g.88a.2pdf Form
G-88a.2 (proposed) Notice of Retirement and Request for Service Needed for Form G-88A.2 Proposed.pdf Form

Information Collection (IC) Details

IC Title:	Notice of Retirement and Request for Service Needed for Eligibility	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 209.7

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	G-88A.2 (04-05)	Notice of Retirement and Request for Service Needed for Eligibility	Form G-88A.2 Current.pdf	http://www.rrb.gov/pdf/g.88a.2pdf	Yes	No	Printable Only
Form	G-88a.2 (proposed)	Notice of Retirement and Request for Service Needed for Eligibility	Form G-88A.2 Proposed.pdf		Yes	Yes	Printable Only

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 495	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	480	480
Annual IC Time Burden (Hours)	40	40
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.