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Continuing Disability Report
Continuing Disability Report
OMB: 3220-0187
IC ID: 34003
OMB.report
RRB
OMB 3220-0187
ICR 200812-3220-005
IC 34003
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0187 can be found here:
2020-09-03 - Revision of a currently approved collection
2017-04-14 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form G-254 (current)
Continuing Disability Report
Form and Instruction
G-254 (current) Continuing Disability Report
Form G-254 (01-08).pdf
Form and Instruction
G-254A (current) Continuing Disability Update Report
Form G-254A (02-06).pdf
Form
G-254 (proposed) Continuing Disability Report
Form G-254 (proposed).pdf
Form and Instruction
Form RL-254A (09-07).pdf
RL-254a; G-254a Transmittal Letter
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Continuing Disability Report
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
20 CFR 220.186
20 CFR 220.17-20
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
G-254 (current)
Continuing Disability Report
Form G-254 (01-08).pdf
No
Paper Only
Form
G-254A (current)
Continuing Disability Update Report
Form G-254A (02-06).pdf
No
Paper Only
Form and Instruction
G-254 (proposed)
Continuing Disability Report
Form G-254 (proposed).pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
RRB-22, Railroad Retirement, Survivor ,and Pensioner Benefit System
FR Citation:
72 FR 73516
Number of Respondents:
1,500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
3,000
0
0
0
0
3,000
Annual IC Time Burden (Hours)
748
0
0
0
0
748
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
RL-254a; G-254a Transmittal Letter
Form RL-254A (09-07).pdf
12/29/2008
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.