Notice of Retirement and Request for Service Needed for Eligibility

Employer Reporting

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0005 can be found here:

Documents and Forms

Document Name Document Type
Form G-88A.2 (10-10) Notice of Retirement and Request for Service Needed for Eligibility Form
G-88A.2 (10-10) Notice of Retirement and Request for Service Needed for Form G-88A.2 (10-10).pdf www.rrb.gov/pdf/g.88a.2pdf Form

Information Collection (IC) Details

IC Title:	Notice of Retirement and Request for Service Needed for Eligibility	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 209.7

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	G-88A.2 (10-10)	Notice of Retirement and Request for Service Needed for Eligibility	Form G-88A.2 (10-10).pdf	http://www.rrb.gov/pdf/g.88a.2pdf	Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: RRB-22, Railroad Retirement Survivor Pensioner and Benefit System	FR Citation: 75 FR 43727

Number of Respondents: 579	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,300	820	480
Annual IC Time Burden (Hours)	108	68	40
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.