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Federal forms, ICRs, and supporting documents

Information Collection

Annual Earnings Questionnaire for Annuitants in Last Pre-Retirement Non-Railroad Employment

IC 33989 under ICR 200812-3220-004 · OMB 3220-0179.

Documents and Forms
Document Name
Document Type
Form
Form
Form and Instruction
IC Document
Information Collection (IC) Details

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Annual Earnings Questionnaire for Annuitants in Last Pre-Retirement Non-Railroad Employment
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 230.2 20 CFR 230.1

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form G-19L (12-07) Annual Earnings Questionnaire for Annuitants in Last Person Service Form G-19L (12-07).pdf No   Paper Only
Form and Instruction G-19L (proposed) Annual Earnings Questionnaire for Annuitants in Last Person Service Form G-19L (proposed).pdf No   Paper Only

Income Security General Retirement and Disability

RRB-22, Railroad Retirement, Survivor, and Pensioner Benefit System   72 FR 73516

300 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 300 0 0 0 0 300
Annual IC Time Burden (Hours) 75 0 0 0 0 75
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
G-19L.1, Instructions for Completing the Annual Earnings Questionnaire Form G-19L1 (12-07).pdf 12/18/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.