Information Collection

Request to Non-Railroad Employer for Information About Annuitants Work and Earnings

IC 33910 under ICR 201112-3220-002 · OMB 3220-0107.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3220-0107 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RL-231-F (08-02) Request to Non-Railroad Employer for Information About Annuitants Work and Earnings	Form and Instruction
RL-231-F (08-02) Request to Non-Railroad Employer for Information About A Form RL-231 (08-02).pdf	Form and Instruction
Form G-19L (03-11).pdf Annual Earnings Questionnaire	IC Document

IC Title:

Request to Non-Railroad Employer for Information About Annuitants Work and Earnings

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 230.1 20 CFR 230.2

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RL-231-F (08-02)	Request to Non-Railroad Employer for Information About Annuitant's Work and Earnings	Form RL-231 (08-02).pdf		No		Paper Only

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: 75 FR 43727

Number of Respondents: 300

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Annual Earnings Questionnaire	Form G-19L (03-11).pdf	12/30/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.