Self-Employment/Corporate Officer Work and Earnings Monitoring

ICR 201011-3220-003

OMB: 3220-0202

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
3220-0202 201011-3220-003
Historical Active
RRB
Self-Employment/Corporate Officer Work and Earnings Monitoring
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/08/2011
Retrieve Notice of Action (NOA) 12/08/2010
  Inventory as of this Action Requested Previously Approved
04/30/2014 36 Months From Approved
100 0 0
33 0 0
0 0 0

To determine entitlement or continued entitlement to a disability annuity, the RRB will obtain information from disability annuitants who claim to be self-employed or a corporate officer or who the RRB determines to be self-employed or a corporate officer after a continuing disability review.

US Code: 45 USC 231(f) Name of Law: Railroad Retirement Act
  
None

Not associated with rulemaking

  75 FR 16876 04/02/2010
75 FR 69716 11/15/2010
No

1
IC Title Form No. Form Name
Self-Employment/Corporate Officer Work and Earnings Monitoring G-252 (xx-xx) Self-Employment/Corporate Officer Work and Earnings Monitoring

  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 100 0 0 100 0 0
Annual Time Burden (Hours) 33 0 0 33 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection. Therefore, there was no previous burden and any burden reported would result in an increase.

No
Yes
No
No
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.
12/08/2010


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