Nonresident Questionnaire

ICR 200906-3220-004

OMB: 3220-0145

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2009-07-14
IC Document Collections
IC ID
Document
Title
Status
44218 Modified
ICR Details
3220-0145 200906-3220-004
Historical Active 200606-3220-001
RRB
Nonresident Questionnaire
Extension without change of a currently approved collection   No
Regular
Approved without change 09/18/2009
Retrieve Notice of Action (NOA) 07/23/2009
  Inventory as of this Action Requested Previously Approved
09/30/2012 36 Months From Approved 09/30/2009
1,300 0 1,300
650 0 650
0 0 0

Under the Railroad Retirement Act, the benefits payable to an annuitant living outside the United States may be subject to withholding under Public Laws 98-21 and 98-76. The form obtains the information needed to determine the amount to be withheld.

None
None

Not associated with rulemaking

  74 FR 17895 04/17/2009
74 FR 36540 07/23/2009
No

1
IC Title Form No. Form Name
Nonresident Questionnaire RRB-1001 (08-98) Nonresident Questionnaire

  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 1,300 1,300 0 0 0 0
Annual Time Burden (Hours) 650 650 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
No
Uncollected
Charles Mierzwa 312-751-3363 [email protected]

  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.
07/23/2009


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