Authorization to Disclose Information to the Railroad Retirement Board

Medical Reports

OMB: 3220-0038

IC ID: 185886

Information Collection (IC) Details

View Information Collection (IC)

Authorization to Disclose Information to the Railroad Retirement Board
 
No Modified
 
Voluntary
 
20 CFR 220

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction G-197 (09-05) Authorization to Disclose Information to the Railroad Retirement Board Form G-197 (09-05).pdf No   Paper Only
Form and Instruction G-197 (proposed) Authorization to Disclose Information to the Railroad Retirement Board Form G-197 (proposed).pdf No   Paper Only

Income Security General Retirement and Disability

RRB-22, Railroad Retirement, Survivor and Pensioner Benefit System   75 FR 43727

6,000 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 6,000 0 0 0 0 6,000
Annual IC Time Burden (Hours) 1,000 0 0 0 0 1,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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