Information Collection

Job Information Report

IC 34010 under ICR 200610-3220-003 · OMB 3220-0193.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0193 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form G-251A Job Information Report	Form
G-251A Employer Job Information (job description) Form G-251A (11-00).pdf	Form
G-251B Employer Job Information (General) Form G-251B (11-00).pdf	Form and Instruction

IC Title:

Job Information Report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 220.13

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	G-251A	Employer Job Information (job description)	Form G-251A (11-00).pdf		No		Paper Only
Form and Instruction	G-251B	Employer Job Information (General)	Form G-251B (11-00).pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title: Railroad Retirement, Survivor and Pensioner Benefit System

FR Citation: 40 FR 36268

Number of Respondents: 430

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	430	430
Annual IC Time Burden (Hours)	144	144
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.